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South Dakota rates for HCPCS 79440

Radiopharmaceutical therapy, by intra-articular administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $123.03 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $281.84 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $177.83 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $194.98 / $316.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $316.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $234.42