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South Dakota rates for HCPCS 75902

Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.34 / $18.34 / $18.34
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.81 / $62.81 / $62.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.09 / $30.64 / $34.93