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South Dakota rates for HCPCS 87623

Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $32.97 / $32.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.51 / $27.37 / $32.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $63.32 / $79.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.61 / $47.22 / $64.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $24.55 / $72.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.28 / $76.90 / $96.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.11 / $71.48 / $91.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.31 / $84.54 / $96.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $24.55 / $35.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $35.09 / $35.09