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South Dakota rates for HCPCS 76102

Radex Cplx Motion Bdy Sctj Oth/Thn Urograpy Bi

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.85 / $411.90 / $514.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.03 / $1,170.03 / $1,170.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.07 / $277.07 / $291.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $277.07 / $396.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.87 / $283.72 / $346.15