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South Dakota rates for HCPCS 87206

Smr Prim Src Fluorescent&/Afs Bct Fngi Parasit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $42.79 / $108.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $9.69 / $9.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $10.44 / $10.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $9.78 / $12.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $8.88 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.77 / $7.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $10.97 / $11.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $11.97 / $14.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $12.59 / $14.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.77 / $6.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39