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South Dakota rates for HCPCS 87526

Iadna Hepatitis G Amplified Probe Technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $36.90 / $36.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $30.62 / $36.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.34 / $78.34 / $78.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.07 / $71.16 / $88.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $56.26 / $118.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.56 / $31.88 / $325.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $77.98 / $123.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.11 / $71.98 / $102.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.31 / $94.59 / $107.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $24.55 / $39.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.26 / $39.26 / $39.26