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South Dakota rates for HCPCS 87490

Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.89 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $43.65 / $53.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $32.36 / $58.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $14.13 / $177.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $54.95 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $30.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91