go back

South Dakota rates for HCPCS 78804

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.77 / $46.77 / $46.77
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $120.23 / $120.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $85.11 / $89.13