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South Dakota rates for HCPCS A9538

Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.86 / $76.86 / $76.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.78 / $65.33 / $76.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.88 / $39.84 / $39.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $98.91 / $189.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $73.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.74 / $59.12 / $91.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.74 / $59.02 / $113.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $16.34 / $16.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $70.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30