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South Dakota rates for HCPCS 87187

Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $77.62 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $38.02 / $74.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $39.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $83.18 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $17.78 / $39.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81