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South Dakota rates for HCPCS 0303U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; hypoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,069.53 / $2,069.53 / $2,069.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.09 / $2,069.53 / $2,069.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.92 / $3,998.40 / $4,998.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,077.89 / $2,492.90 / $10,457.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.83 / $1,981.46 / $3,302.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,641.94 / $2,641.94 / $6,055.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,641.94 / $5,151.79 / $6,055.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,508.70 / $5,304.36 / $6,048.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.68 / $1,981.46 / $2,906.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.62 / $2,201.62 / $2,201.62