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South Dakota rates for HCPCS 87492

Iadna Chlamydia Trachomatis Quantification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.26 / $50.26 / $50.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.82 / $46.49 / $50.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.41 / $106.41 / $106.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.27 / $97.27 / $121.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.22 / $60.54 / $119.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $32.08 / $287.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.00 / $89.00 / $124.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.16 / $81.00 / $117.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $109.50 / $146.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.46 / $24.45 / $53.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $53.47 / $53.47