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South Dakota rates for HCPCS A9551

Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.30 / $719.30 / $719.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $719.30 / $719.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.25 / $659.25 / $824.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.88 / $1,094.06 / $1,773.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.33 / $683.34 / $751.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.19 / $832.61 / $1,396.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.19 / $841.14 / $1,324.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.34 / $683.34 / $902.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.41 / $599.41 / $599.41