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South Dakota rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $85.11 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $117.49 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $144.54 / $229.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $190.55