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South Dakota rates for HCPCS 87520

Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.84 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $60.26 / $74.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $35.48 / $58.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.62 / $199.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $64.57 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $18.62 / $36.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90