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South Dakota rates for HCPCS A9520

Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 mCi

Facilitymedian $1,000 · 10th–90th $631–$1,2020%20%10th90th$1,000Professionalmedian $661 · 10th–90th $229–$7940%20%10th90th$661$500.0$1.0K$2.0K

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
$630.96 / $1,000.00 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $676.08 / $794.33
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $812.83 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $288.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $831.76 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $660.69 / $758.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $758.58
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74