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South Dakota rates for HCPCS 78258

Esophageal Motility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.11 / $34.11 / $34.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.76 / $56.17 / $64.04