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South Dakota rates for HCPCS 78802

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.63 / $37.63 / $37.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.16 / $304.83 / $366.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.97 / $649.26 / $811.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.94 / $440.14 / $728.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.00 / $643.75 / $838.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.54 / $484.01 / $555.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.97 / $62.41 / $71.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.14 / $405.76 / $676.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.00 / $554.20 / $554.20