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South Dakota rates for HCPCS 86305

Human Epididymis Protein 4 (He4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $19.55 / $19.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.94 / $19.55 / $19.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.78 / $41.78 / $41.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $37.86 / $47.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.93 / $33.36 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $18.73 / $42.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.85 / $42.42 / $65.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $46.25 / $59.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.22 / $50.14 / $57.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $14.56 / $24.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $20.81 / $20.81