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South Dakota rates for HCPCS 87490

Iadna Chlamydia Trachomatis Direct Probe Tq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.39 / $21.39 / $21.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.24 / $21.39 / $26.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.04 / $45.04 / $45.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.83 / $41.13 / $51.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.79 / $32.15 / $59.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $18.21 / $176.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $44.57 / $71.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $41.72 / $58.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $54.58 / $62.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $14.03 / $22.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.75 / $22.75 / $22.75