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South Dakota rates for HCPCS A9552

Fluorodeoxyglucose F-18 Fdg Diagnostic Per Study Does Up To 45 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.95 / $472.15 / $11,593.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.69 / $321.26 / $395.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.63 / $611.63 / $764.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.92 / $574.87 / $1,805.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $394.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.60 / $446.69 / $991.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.60 / $489.18 / $745.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.05 / $359.05 / $394.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.31 / $334.31 / $334.31