go back

South Dakota rates for HCPCS A9606

Radium RA-223 dichloride, therapeutic, per UCI

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.82 / $202.82 / $202.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.40 / $172.40 / $202.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.18 / $168.85 / $208.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.38 / $261.02 / $308.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.40 / $202.82 / $223.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.07 / $253.07 / $295.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.99 / $183.99 / $183.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.47 / $172.47 / $172.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.82 / $202.82 / $223.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.08 / $169.08 / $169.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.08 / $169.08 / $169.08