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South Dakota rates for HCPCS 83002

Gonadotropin Luteinizing Hormone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.41 / $149.40 / $185.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $17.41 / $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
$17.47 / $29.69 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $12.95 / $25.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.90 / $37.71 / $58.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $41.00 / $53.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $43.25 / $50.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $12.95 / $22.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.52 / $18.52 / $18.52