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South Dakota rates for HCPCS 83001

Gonadotropin Follicle Stimulating Hormone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.20 / $121.82 / $502.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.49 / $16.71 / $97.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $37.21 / $37.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $33.29 / $41.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $34.11 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $13.00 / $25.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.98 / $37.86 / $58.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $41.00 / $53.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $43.39 / $51.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $13.00 / $22.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $18.57 / $18.57