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South Dakota rates for HCPCS 78457

Venous Thrombosis Imaging Venogram Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.15 / $34.15 / $34.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.48 / $60.71 / $69.22