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South Dakota rates for HCPCS A9505

Thallium Ti-201 Thallous Chloride Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.19 / $39.19 / $39.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $32.53 / $39.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.38 / $42.38 / $52.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.19 / $50.44 / $96.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $37.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.16 / $102.13 / $218.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.16 / $78.65 / $308.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.14 / $69.09 / $69.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $35.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $67.73 / $67.73