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South Dakota rates for HCPCS 87497

Iadna Cytomegalovirus Quantification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.27 / $61.56 / $112.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.42 / $38.54 / $282.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.52 / $85.52 / $85.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $77.68 / $97.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.04 / $68.06 / $162.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.56 / $506.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.29 / $93.89 / $134.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.41 / $87.28 / $122.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $103.21 / $117.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $29.97 / $49.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $42.84