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South Dakota rates for HCPCS 87901

Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $295.12 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $398.11 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $1,819.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $181.97 / $363.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04