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South Dakota rates for HCPCS 87252

Virus Tiss Cul Inoculation Cytopathic Effect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.51 / $109.67 / $358.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.72 / $23.64 / $34.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.22 / $52.22 / $52.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.15 / $47.65 / $59.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.98 / $41.81 / $125.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.64 / $23.46 / $53.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.64 / $53.12 / $81.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $57.93 / $74.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $60.88 / $71.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $18.23 / $31.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.07