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South Dakota rates for HCPCS Q9962

High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $1,312.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.44 / $0.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $1.04 / $1.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.20