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South Dakota rates for HCPCS A9588

Fluciclovine F-18 Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.98 / $619.98 / $619.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $619.98 / $619.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.25 / $408.29 / $505.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.98 / $942.99 / $1,528.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $588.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,526.67 / $7,526.67 / $8,781.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.48 / $576.48 / $576.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $568.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $516.65