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South Dakota rates for HCPCS A9580

Sodium fluoride F-18, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.53 / $176.53 / $176.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.53 / $176.53 / $188.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $306.00 / $388.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.89 / $318.97 / $517.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.01 / $262.01 / $288.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.64 / $398.48 / $621.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.02 / $403.74 / $661.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $330.00