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South Dakota rates for HCPCS 87109

Culture, mycoplasma, any source

Facilitymedian $30 · 10th–90th $14–$630%20%10th90th$30Professionalmedian $14 · 10th–90th $11–$370%20%40%10th90th$14$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.80 / $14.13
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.49 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $29.51 / $37.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $17.38 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.72 / $21.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $13.80 / $21.38
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49