go back

South Dakota rates for HCPCS 87900

Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.53 / $122.53 / $122.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $101.67 / $122.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.81 / $259.81 / $259.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.39 / $236.97 / $296.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.88 / $201.42 / $254.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.20 / $117.32 / $1,071.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.21 / $285.67 / $403.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.41 / $265.54 / $373.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.86 / $314.05 / $358.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $78.20 / $130.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.35 / $130.35 / $130.35