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South Dakota rates for HCPCS 0216U

Neuro Inh Ataxia Genomic Dna Seq Alys 12 Bld/Slv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.80 / $1,444.80 / $1,444.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.88 / $1,444.80 / $1,444.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,208.00 / $2,792.03 / $3,490.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.63 / $1,740.36 / $2,821.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.88 / $922.21 / $3,024.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,844.42 / $1,998.13 / $3,368.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.42 / $2,336.27 / $3,166.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,197.94 / $3,703.14 / $4,222.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.54 / $922.21 / $2,305.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.02 / $1,537.02 / $1,537.02