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South Dakota rates for HCPCS 87255

Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.83 / $190.95 / $196.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $30.18 / $31.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.23 / $67.23 / $67.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $62.02 / $77.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $54.29 / $161.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $30.47 / $69.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $68.98 / $106.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.70 / $75.00 / $97.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $79.06 / $93.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $23.69 / $40.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $33.86 / $33.86