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South Dakota rates for HCPCS 87103

Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $38.90 / $48.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $22.91 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $20.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $41.69 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $12.30 / $20.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42