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South Dakota rates for HCPCS 78801

Rp Loclzj Tum Plnr 2+Area 1+D Img/1 Area Img>2+D

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.47 / $34.47 / $34.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.84 / $58.27 / $66.66