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South Dakota rates for HCPCS A9595

Piflufolastat F-18 Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.07 / $738.07 / $738.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.60 / $627.36 / $771.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.41 / $1,003.00 / $1,253.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.25 / $752.25 / $940.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.26 / $997.88 / $1,247.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $615.05 / $2,646.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.34 / $1,445.53 / $2,765.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.55 / $657.55 / $657.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $615.05 / $873.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $615.05 / $615.05