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South Dakota rates for HCPCS 87507

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, 12-25 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.44 / $1,257.88 / $1,334.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.89 / $530.30 / $1,380.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.01 / $831.01 / $831.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.53 / $756.60 / $945.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.31 / $558.90 / $1,190.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.07 / $291.58 / $857.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.84 / $913.41 / $1,148.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.14 / $849.13 / $1,087.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.62 / $1,004.15 / $1,144.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $291.58 / $416.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $416.78 / $416.78