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Hepatitis C Virus Level Test

South Dakota rates for HCPCS 87522

This laboratory test measures the amount of hepatitis C virus genetic material in a blood sample. It is used to confirm active infection and to track how much virus is present, which helps guide and monitor antiviral treatment.

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $81$2510%50%10th90th$120Professionalmedian $95 · 10th–90th $33$1350%20%10th90th$95$20.0$50.0$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
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$125.89
Typical High
$134.90
Avera
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$43.65
Typical High
$64.57
Avera
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$81.28
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$67.61
Typical High
$162.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.20
Typical High
$630.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$38.90
Typical High
$74.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66