go back

South Dakota rates for HCPCS 87109

Culture, mycoplasma, any source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.47 / $62.98 / $62.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $13.75 / $18.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.68 / $30.68 / $30.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.76 / $28.07 / $35.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $14.74 / $111.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $10.77 / $21.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.86 / $29.99 / $31.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $31.35 / $40.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $35.94 / $42.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $10.77 / $18.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $15.39