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South Dakota rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $15.90 / $15.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $15.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $18.05 / $26.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $13.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $14.27 / $15.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.96 / $16.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $13.83