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South Dakota rates for HCPCS 87320

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Chlamydia trachomatis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.10 / $14.10 / $14.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.05 / $14.10 / $14.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $26.76 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $19.22 / $71.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $13.50 / $24.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $27.50 / $43.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $27.00 / $39.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $35.03 / $41.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $9.00 / $18.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00