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South Dakota rates for HCPCS 87521

Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $39.81 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $32.36 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $56.23 / $117.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $24.55 / $363.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $24.55 / $48.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48