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South Dakota rates for HCPCS A9536

Tc99m depreotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.00 / $1,190.00 / $1,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $1,141.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.60 / $2,129.40 / $3,452.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.89 / $1,400.00 / $1,540.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.88 / $1,163.89 / $1,840.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.03 / $1,179.26 / $1,947.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.00 / $1,400.00 / $1,540.00