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South Dakota rates for HCPCS 84143

17-Hydroxypregnenolone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.44 / $21.44 / $21.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $21.44 / $115.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.43 / $41.78 / $52.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $25.82 / $172.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $16.64 / $27.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.43 / $46.46 / $50.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $50.00 / $63.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $53.26 / $62.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $13.69 / $27.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.81 / $22.81 / $22.81