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South Dakota rates for HCPCS 80428

Growth Hormone Stimulation Panel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.70 / $62.70 / $62.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.69 / $62.70 / $87.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $133.16 / $133.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.41 / $120.77 / $150.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.91 / $106.94 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.02 / $60.03 / $137.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.07 / $135.90 / $209.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.07 / $147.00 / $191.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.72 / $155.75 / $183.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $46.67 / $80.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $66.70