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South Dakota rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.33 / $69.33 / $828.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $63.29 / $72.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.38 / $69.38 / $86.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.67 / $101.40 / $164.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.56 / $57.78 / $63.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,770.00 / $4,770.00 / $5,565.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $66.66 / $66.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $63.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.56 / $55.56 / $55.56