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South Dakota rates for HCPCS 91111

Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $47.86 / $47.86
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $112.20 / $114.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $81.28 / $91.20