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South Dakota rates for HCPCS 75891

Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.32 / $52.32 / $52.32
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$179.02 / $179.02 / $179.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.90 / $87.38 / $99.62