go back

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
$575.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $758.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56