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South Dakota rates for HCPCS 87902

Nfct Agent Genotype Alys Nucleic Acd Hep C Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.71 / $242.00 / $4,043.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.49 / $224.34 / $242.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.10 / $513.10 / $513.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.72 / $467.40 / $584.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.66 / $397.77 / $503.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $231.71 / $1,820.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.22 / $564.22 / $807.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.94 / $524.50 / $737.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.42 / $620.27 / $707.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $180.11 / $296.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.45 / $257.45 / $257.45