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South Dakota rates for HCPCS 76125

Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.88 / $12.88 / $12.88
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $28.18 / $32.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $22.39 / $25.70