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South Dakota rates for HCPCS 80426

Gonadotropin Releasing Hormone Stimj Panel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.51 / $139.51 / $139.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $139.51 / $139.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.72 / $295.72 / $295.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $269.61 / $337.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.18 / $237.93 / $704.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.05 / $133.57 / $305.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.51 / $302.36 / $465.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.51 / $328.00 / $425.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.35 / $357.56 / $407.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $103.83 / $178.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.41 / $148.41 / $148.41