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South Dakota rates for HCPCS 87166

Dark Field Exam Any Source W/O Specimen Collect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.62 / $10.62 / $10.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $10.62 / $10.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.85 / $22.85 / $22.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $20.89 / $26.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $18.11 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $6.78 / $13.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $23.04 / $35.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $23.15 / $31.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $26.39 / $31.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $6.78 / $11.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $11.30 / $11.30