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South Dakota rates for HCPCS 75831

Venography Renal Unilateral Selective Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.60 / $51.60 / $51.60
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$195.82 / $195.82 / $195.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.50 / $86.24 / $98.33