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South Dakota rates for HCPCS 83701

Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.83 / $31.83 / $31.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.69 / $31.83 / $31.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.23 / $67.23 / $67.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $62.02 / $77.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $39.79 / $160.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $30.47 / $51.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $62.09 / $77.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $62.09 / $88.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.86 / $79.06 / $93.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $20.32 / $34.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $33.86 / $33.86