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South Dakota rates for HCPCS 87624

Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $158.84 / $176.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.81 / $35.09 / $194.91
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 / $55.74 / $133.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $31.58 / $110.70
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 / $46.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $35.09 / $35.09