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South Dakota rates for HCPCS 84087

Phosphohexose isomerase

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $12.30 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $20.89 / $25.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $16.60 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.24 / $14.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $25.70 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $7.24 / $17.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72