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South Dakota rates for HCPCS Q9960

High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.27 / $0.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.28 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.28 / $0.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.20