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South Dakota rates for HCPCS 91111

Gi Tract Imaging Intraluminal Esophagus Wi&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.85 / $48.85 / $48.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.97 / $81.73 / $87.90