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South Dakota rates for HCPCS 0439T

Myocardial Perfusion Echo Ischm/Viability Assmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.12 / $94.12 / $94.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.81 / $91.81 / $94.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $61.50 / $76.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.97 / $155.16 / $190.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.74 / $149.07 / $603.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.05 / $145.62 / $217.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.35 / $114.35 / $175.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.74 / $134.27 / $157.96