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South Dakota rates for HCPCS A9563

Sodium Phosphate P-32 Therapeutic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.85 / $365.85 / $365.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.66 / $310.97 / $365.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.97 / $310.97 / $536.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.85 / $492.58 / $902.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.88 / $304.88 / $543.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.68 / $543.29 / $673.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.86 / $550.47 / $914.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.14 / $304.88 / $335.37
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.12 / $179.12 / $179.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.12 / $179.12 / $179.12