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South Dakota rates for HCPCS 87526

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $36.31 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $75.86 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $56.23 / $117.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $24.55 / $323.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $95.50 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $24.55 / $51.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90