go back

South Dakota rates for HCPCS Q9956

Injection, octafluoropropane microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $183.15 / $459.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $46.74 / $109.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.68 / $43.10 / $53.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.16 / $69.63 / $112.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $800.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.97 / $50.26 / $62.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $49.44 / $50.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.49 / $44.49 / $44.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $44.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $41.20