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South Dakota rates for HCPCS A9699

Radiopharmaceutical, therapeutic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $32,359.37 / $32,359.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,417.38 / $32,359.37 / $47,863.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39,810.72 / $39,810.72 / $39,810.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $54,954.09 / $89,125.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,708.82 / $45,708.82 / $301,995.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,708.82 / $46,773.51 / $60,255.96