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South Dakota rates for HCPCS C8925

Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, real time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.25 / $855.25 / $855.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.88 / $700.88 / $855.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.49 / $1,439.39 / $1,920.41