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South Dakota rates for HCPCS 0257U

Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD), leukocyte enzyme activity, whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $549.54 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,380.38 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $691.83 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,659.59 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $933.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95