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South Dakota rates for HCPCS Q9961

High Osmolar Contrast Material 250-299 Mg/Ml Iodine Concentration Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.49 / $0.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $480.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.35 / $0.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.34 / $0.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28