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South Dakota rates for HCPCS 87810

Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.17 / $33.17 / $33.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $23.64 / $33.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.50 / $70.50 / $70.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $63.97 / $79.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.22 / $39.95 / $167.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $24.66 / $42.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.63 / $43.59 / $64.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $34.36 / $92.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.87 / $82.41 / $96.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $21.17 / $40.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $35.29 / $35.29