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South Dakota rates for HCPCS A9550

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $20.32 / $20.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $20.32 / $220.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.07 / $371.80 / $602.79