go back

South Dakota rates for HCPCS 0096U

Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $66.07 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $39.81 / $64.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $173.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $81.28 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $20.89 / $40.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48