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South Dakota rates for HCPCS 87563

Iadna Mycoplasma Genitalium Amplified Probe Tech

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $108.62 / $110.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.81 / $32.81 / $45.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.08 / $63.32 / $79.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $39.72 / $329.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $21.05 / $71.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.28 / $64.17 / $89.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $58.88 / $76.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.18 / $84.54 / $96.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $17.89 / $40.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $35.09 / $35.09