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South Dakota rates for HCPCS G0204

Dx mammo incl cad bi

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.25 / $179.25 / $224.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.43 / $220.43 / $242.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $220.43 / $324.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.70 / $266.31 / $273.89