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South Dakota rates for HCPCS A9582

Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 mCi

Facilitymedian $6,166 · 10th–90th $3,311–$7,9430%20%40%10th90th$6,166Professionalmedian $5,248 · 10th–90th $2,570–$7,7620%20%10th90th$5,248$5.0K$10.0K$20.0K

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
$3,311.31 / $6,165.95 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $5,248.07 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $9,332.54 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,128.61 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $7,244.36
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78