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South Dakota rates for HCPCS A9508

Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.70 / $698.70 / $698.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.70 / $736.18 / $742.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.07 / $876.07 / $1,451.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.96 / $1,194.21 / $2,034.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.96 / $886.96 / $1,030.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.24 / $1,479.63 / $2,446.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.63 / $1,545.84 / $2,475.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.96 / $886.96 / $975.66