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South Dakota rates for HCPCS 87190

Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.87 / $6.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.36 / $14.36 / $14.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $13.71 / $17.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $9.05 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $6.58 / $11.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $13.41 / $19.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.55 / $12.56 / $19.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $17.07 / $20.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $4.38 / $8.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31