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South Dakota rates for HCPCS 80074

Acute Hepatitis Panel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.32 / $261.72 / $820.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $40.64 / $255.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.66 / $94.66 / $94.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.52 / $86.17 / $107.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.63 / $139.38 / $416.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $32.86 / $66.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.47 / $97.06 / $149.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $97.06 / $129.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $111.22 / $130.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $32.86 / $57.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $47.63 / $47.63