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South Dakota rates for HCPCS 77750

Infusion or instillation of radioelement solution (includes 3-month follow-up care)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$269.62 / $269.62 / $269.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$295.85 / $427.68 / $514.92