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South Dakota rates for HCPCS 87253

Virus Tissue Culture Addl Stdy/Id Each Isolate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.98 / $18.98 / $18.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $18.98 / $18.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $40.47 / $40.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $36.56 / $45.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $22.87 / $236.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $18.18 / $41.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $41.16 / $44.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $35.39 / $52.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $47.17 / $55.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $14.13 / $24.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $20.20 / $20.20