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South Dakota rates for HCPCS 87797

Iadna Nos Direct Probe Tq Each Organism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.23 / $28.23 / $28.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.12 / $23.98 / $45.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.06 / $60.06 / $60.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.44 / $54.84 / $68.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.77 / $34.00 / $59.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.03 / $18.21 / $164.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $50.00 / $72.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $46.00 / $65.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.01 / $61.50 / $82.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $14.03 / $30.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.03