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South Dakota rates for HCPCS 83002

Gonadotropin,Pituitary,Luteinizing Hormo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $112.20 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $35.48 / $43.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $29.51 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.88 / $22.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $12.88 / $32.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62