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South Dakota rates for HCPCS 77013

Ct Guidance &Monitoring Visc Tiss Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$183.37 / $183.37 / $183.37
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$640.74 / $640.74 / $640.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$236.12 / $316.50 / $350.62