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South Dakota rates for HCPCS 78800

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $489.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $75.86 / $75.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $446.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $54.95 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $389.05 / $512.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $457.09