go back

South Dakota rates for HCPCS 87625

Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.11 / $38.11 / $116.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $38.11 / $45.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.95 / $80.95 / $80.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $73.77 / $92.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.85 / $47.22 / $74.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $31.04 / $74.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.33 / $77.98 / $100.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.66 / $74.34 / $96.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.31 / $95.52 / $111.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $24.55 / $40.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $40.54 / $40.54