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South Dakota rates for HCPCS A9530

Iodine I-131 sodium iodide solution, therapeutic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.92 / $10.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $18.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $15.46 / $35.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $7.36 / $73.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.15 / $19.36 / $31.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $18.51 / $27.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $7.25 / $12.27
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $20.88 / $20.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $20.88 / $20.88