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South Dakota rates for HCPCS 87506

Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets

Facilitymedian $398 · 10th–90th $224–$7240%20%10th90th$398Professionalmedian $245 · 10th–90th $170–$6310%20%10th90th$245$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $380.19 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $501.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $295.12 / $812.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $1,318.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $616.60 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $158.49 / $346.74
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03