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South Dakota rates for HCPCS Q9983

Florbetaben F-18, diagnostic, per study dose, up to 8.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,080.00 / $4,080.00 / $4,080.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,468.00 / $3,468.00 / $4,080.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,468.00 / $3,468.00 / $3,468.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,080.00 / $5,723.02 / $6,895.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,400.00 / $3,400.00 / $15,504.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.64 / $2,547.52 / $3,069.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,362.77 / $3,362.77 / $3,362.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,856.00 / $2,856.00 / $2,856.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,400.00 / $3,400.00 / $3,876.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.00 / $2,800.00 / $2,800.00