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South Dakota rates for HCPCS 84087

Assay Of Phosphohexose Isomerase

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $10.09 / $10.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.54 / $21.54 / $21.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $19.57 / $24.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $16.55 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $9.66 / $21.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.86 / $21.04 / $33.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $22.94 / $29.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $25.06 / $29.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $9.66 / $14.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $10.73