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South Dakota rates for HCPCS 0167U

Gonadotropin, chorionic (hCG), immunoassay with direct optical observation, blood

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.85 / $19.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.14 / $15.14