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South Dakota rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Facilitymedian $282 · 10th–90th $2–$2820%50%10th$282Professionalmedian $2 · 10th–90th $1–$320%20%10th90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.09 / $14.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.70 / $1.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $2.51
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26