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South Dakota rates for HCPCS 87501

Infectious Agent Dna/Rna Influenza Ea Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.23 / $48.23 / $48.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.38 / $48.23 / $67.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.49 / $102.49 / $102.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $93.35 / $116.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.16 / $78.88 / $94.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $35.90 / $105.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.20 / $112.44 / $155.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.57 / $104.55 / $147.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.80 / $123.62 / $140.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.55 / $35.90 / $51.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.31 / $51.31 / $51.31