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South Dakota rates for HCPCS Q9953

Injection Iron-Based Magnetic Resonance Contrast Agent Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $17.53 / $17.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $14.90 / $17.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.50 / $64.50 / $80.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.45 / $26.67 / $31.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $68.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.00 / $87.00 / $99.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $90.26 / $99.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $68.26