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South Dakota rates for HCPCS A9556

Gallium Ga-67 Citrate Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.02 / $162.02 / $162.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $137.72 / $162.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $32.34 / $32.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.78 / $246.44 / $399.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $169.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $37.01 / $52.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $37.49 / $61.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.66 / $137.66 / $137.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $203.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $134.97 / $134.97