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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
$16.98 / $16.98 / $16.98
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $36.31 / $41.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $28.18 / $33.11