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South Dakota rates for HCPCS 80402

Acth Stimulation Panel 21 Hydroxylase Deficiency

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.73 / $81.73 / $81.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.26 / $81.73 / $81.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $173.64 / $173.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.95 / $157.97 / $197.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.31 / $139.40 / $413.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.33 / $78.26 / $124.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.21 / $177.16 / $272.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.50 / $177.16 / $237.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.60 / $203.06 / $238.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $52.18 / $104.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.96 / $86.96 / $86.96