go back

South Dakota rates for HCPCS A9567

Technetium Tc-99mpentette Diagnostic Aerosol P Er Study Dose Up To 75 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $14.58 / $350.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $14.58 / $14.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $31.13 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $24.81 / $40.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $22.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.23 / $34.29 / $48.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.57 / $34.75 / $57.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $22.42