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South Dakota rates for HCPCS Q9950

Injection, sulfur hexafluoride lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $564.96 / $726.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $22.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $19.09 / $23.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.58 / $31.42 / $55.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $20.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $22.47 / $26.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.29 / $22.47 / $28.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $20.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59