go back

South Dakota rates for HCPCS Q9950

Injection, sulfur hexafluoride lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $223.87 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $22.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $31.62 / $56.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $18.62 / $18.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $19.95