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South Dakota rates for HCPCS 84702

Gonadotropin Chorionic Quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $82.08 / $222.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $13.59 / $85.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $27.42 / $34.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $57.07 / $169.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $15.05 / $21.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.42 / $30.67 / $47.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $33.00 / $43.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.59 / $35.14 / $41.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $15.05 / $18.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $15.05 / $15.05