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South Dakota rates for HCPCS A9524

Iodine I-131 iodinated serum albumin, diagnostic, per 5 mcCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $448.50 / $448.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.23 / $448.50 / $448.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.25 / $206.25 / $257.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $127.91 / $234.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.25 / $390.00 / $677.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.66 / $124.66 / $855.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.66 / $127.98 / $204.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $390.00 / $429.00