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South Dakota rates for HCPCS 84703

Gonadotropin Chorionic Qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.35 / $91.35 / $202.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $6.81 / $62.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.01 / $15.01 / $15.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $13.71 / $17.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $34.10 / $143.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.26 / $10.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $15.33 / $23.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $16.72 / $21.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $18.12 / $20.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $5.26 / $9.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $7.52 / $7.52