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South Dakota rates for HCPCS 78290

Intestine Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.36 / $32.36 / $32.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.18 / $53.34 / $60.81