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South Dakota rates for HCPCS 87503

Nfct Agent Dna/Rna Influenza >2 Types Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.47 / $27.47 / $27.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $22.79 / $27.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.10 / $58.10 / $58.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.92 / $52.88 / $66.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.00 / $33.09 / $53.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $17.53 / $53.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.70 / $53.59 / $64.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.06 / $49.03 / $62.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $68.23 / $80.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $17.53 / $29.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.22 / $29.22 / $29.22