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South Dakota rates for HCPCS 75807

Lymphangiography Pelvic/Abdominal Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.77 / $52.77 / $52.77
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$187.99 / $187.99 / $187.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.19 / $87.95 / $100.27