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South Dakota rates for HCPCS 78121

Red Cell Volume Determination Spx Mult Samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.38 / $80.38 / $80.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $80.38 / $80.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.80 / $221.07 / $276.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.89 / $116.68 / $253.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.54 / $140.99 / $227.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.71 / $204.76 / $437.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.01 / $195.49 / $230.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.89 / $160.57 / $183.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.27 / $121.36 / $216.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.60 / $190.10 / $190.10