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South Dakota rates for HCPCS Q9966

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

Facilitymedian $6 · 10th–90th $0–$690%5%10%10th90th$6Professionalmedian $1 · 10th–90th $0–$50%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $12.59 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $3.80 / $5.01
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $0.41 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.42 / $0.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.76 / $1.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.45 / $0.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.52 / $0.52
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.45