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South Dakota rates for HCPCS 76499

Unlisted Diagnostic Radiographic Procedure

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.43 / $71.88 / $78.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.30 / $79.30 / $79.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $111.22 / $111.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $32.00 / $32.00