go back

South Dakota rates for HCPCS 87483

Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.77 / $391.77 / $391.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.24 / $325.08 / $391.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.01 / $831.01 / $831.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.53 / $756.60 / $945.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.35 / $471.92 / $1,021.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.07 / $291.58 / $857.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.84 / $913.41 / $1,136.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.14 / $849.13 / $1,087.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $1,004.15 / $1,144.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $291.58 / $416.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $416.78 / $416.78