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South Dakota rates for HCPCS 78110

Plasma Vol Radiopharm Vol Dilution Spx 1 Sample

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.93 / $71.93 / $71.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.77 / $71.93 / $71.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.22 / $162.90 / $203.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $104.39 / $169.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $131.18 / $218.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.72 / $195.82 / $1,069.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $154.96 / $195.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $128.44 / $172.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.69 / $114.32 / $207.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.30 / $140.40 / $140.40