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South Dakota rates for HCPCS 77053

Mammary ductogram or galactogram, single duct, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.42 / $17.42 / $17.42
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.98 / $54.98 / $54.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.83 / $28.94 / $32.99