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South Dakota rates for HCPCS 87560

Iadna Mycobacteria Avium-Intraclre Dir Prb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.65 / $25.65 / $25.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.28 / $21.29 / $25.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.18 / $54.18 / $54.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $49.61 / $62.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.14 / $32.15 / $59.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.03 / $18.21 / $164.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.22 / $50.00 / $72.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $45.80 / $59.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $63.72 / $74.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $16.37 / $36.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.29 / $27.29 / $27.29