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South Dakota rates for HCPCS 0254U

Reprdtve Med Alys 24 Chrmsm Embry& Mitochdrl Dna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.51 / $713.51 / $713.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.56 / $592.05 / $713.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.32 / $1,378.71 / $1,723.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.39 / $859.47 / $1,393.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.12 / $455.43 / $1,493.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.86 / $986.77 / $1,663.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.86 / $1,039.90 / $1,563.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.44 / $1,828.78 / $2,085.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $387.12 / $759.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $759.05 / $759.05