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South Dakota rates for HCPCS Q9969

Tc-99m from nonhighly enriched uranium source, full cost recovery add-on, per study dose

Facilitymedian $19 · 10th–90th $9–$270%10%10th90th$19Professionalmedian $2 · 10th–90th $2–$130%50%90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
$8.71 / $18.62 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $6.76 / $8.91