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South Dakota rates for HCPCS A9561

Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $144.54 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $79.43 / $131.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $54.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86