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South Dakota rates for HCPCS 86277

Growth hormone, human (HGH), antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.80 / $14.80 / $14.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $14.80 / $14.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.33 / $31.33 / $31.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $28.72 / $35.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.09 / $25.23 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $14.17 / $32.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $32.06 / $49.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $34.97 / $45.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $36.75 / $43.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $11.01 / $18.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.74 / $15.74 / $15.74