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South Dakota rates for HCPCS 87176

Homogenization Tissue Culture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $42.17 / $246.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $5.25 / $5.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.44 / $13.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $9.44 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $5.29 / $12.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $11.99 / $18.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.11 / $16.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $13.73 / $16.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $4.12 / $7.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $5.88 / $5.88