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South Dakota rates for HCPCS A9561

Technetium Tc-99moxidronate Diagnostic Per Stud Y Dose Up To 30 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.80 / $141.34 / $200.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.82 / $44.88 / $52.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.50 / $67.50 / $84.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.07 / $80.31 / $132.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.16 / $50.16 / $55.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.20 / $75.13 / $119.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $76.12 / $125.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.16 / $50.16 / $55.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.70 / $75.70 / $75.70