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South Dakota rates for HCPCS A9564

Chromic Phosphate P-32 Suspension Therapeutic Per Millilcurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.28 / $108.28 / $108.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $109.05 / $289.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.75 / $177.75 / $222.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.94 / $184.29 / $469.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.31 / $259.31 / $331.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $254.76 / $359.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $258.12 / $426.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.31 / $259.31 / $285.24