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South Dakota rates for HCPCS 75887

Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.98 / $65.98 / $65.98
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$221.44 / $221.44 / $221.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.41 / $111.21 / $126.79