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South Dakota rates for HCPCS A9567

Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 mCi

Facilitymedian $355 · 10th–90th $14–$3550%50%10th$355Professionalmedian $17 · 10th–90th $14–$390%20%10th90th$17$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $19.05
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $38.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $23.99 / $39.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $22.39
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $23.99