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South Dakota rates for HCPCS Q9968

Injection Nonradioactive Noncontrast Visualization Adjunct (E.G. Methylene Blue Isosulfan Blue) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $482.08 / $588.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $2.75 / $2.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $6.66 / $11.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $2,178.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $15.58 / $40.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.18 / $6.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $2.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $4.69 / $4.69