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South Dakota rates for HCPCS 83663

Fetal Lung Maturity Fluorescence Polarization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $37.86 / $37.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $33.95 / $42.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.12 / $30.33 / $90.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.35 / $17.02 / $38.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $38.53 / $59.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $28.60 / $52.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $44.16 / $51.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $13.23 / $22.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.91 / $18.91 / $18.91