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South Dakota rates for HCPCS 87556

Iadna Mycobacteria Tuberculosis Amp Prb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.18 / $39.18 / $39.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.93 / $32.51 / $39.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.91 / $82.91 / $82.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $75.72 / $94.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $56.26 / $118.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $31.88 / $325.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.79 / $77.98 / $126.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.02 / $76.42 / $102.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.77 / $95.52 / $114.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $24.55 / $47.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $41.68 / $41.68