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South Dakota rates for HCPCS 87906

Nfct Agt Gnotyp Alys Nucle Acd Hiv1 Other Region

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.01 / $121.01 / $121.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.25 / $100.41 / $121.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.55 / $256.55 / $256.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.86 / $233.70 / $292.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.34 / $197.39 / $236.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $90.06 / $264.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.12 / $282.12 / $357.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $262.26 / $357.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.22 / $310.14 / $353.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.07 / $90.06 / $115.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $128.72 / $128.72