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South Dakota rates for HCPCS A9555

Rubidium Rb-82, diagnostic, per study dose, up to 60 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.44 / $1,464.90 / $1,710.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.44 / $355.61 / $448.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.63 / $617.63 / $772.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.82 / $550.52 / $892.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.75 / $520.75 / $572.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $608.61 / $1,073.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.00 / $616.66 / $1,209.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.75 / $520.75 / $572.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.05 / $420.05 / $420.05