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South Dakota rates for HCPCS A9800

Gallium locametz 1 millicuri

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.54 / $734.54 / $734.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $734.54 / $734.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.75 / $612.19 / $1,406.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.80 / $1,370.29 / $1,671.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $3,757.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.24 / $1,781.86 / $2,104.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.62 / $989.62 / $989.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $673.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.00 / $824.00 / $824.00