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South Dakota rates for HCPCS 78216

Liver and spleen imaging; with vascular flow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.75 / $26.75 / $26.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.59 / $45.84 / $52.40