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South Dakota rates for HCPCS 78120

Red cell volume determination (separate procedure); single sampling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.68 / $73.68 / $73.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.28 / $73.68 / $73.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.38 / $166.78 / $208.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.64 / $106.94 / $201.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.22 / $126.98 / $204.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.28 / $184.00 / $325.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $164.11 / $192.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.43 / $130.47 / $158.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.68 / $126.98 / $194.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.20 / $143.69 / $143.69