go back

South Dakota rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $7.60 / $7.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.60 / $7.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $15.01 / $18.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $9.14 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $7.27 / $12.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $15.90 / $22.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $15.90 / $22.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $19.47 / $22.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.84 / $9.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $8.08 / $8.08