go back

South Dakota rates for HCPCS 75902

Mechanical Rmvl Intraluminal Obstr Matrl Rs&I

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