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South Dakota rates for HCPCS 87636

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $354.81 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $239.88 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $707.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $331.13 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $87.10 / $165.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25