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South Dakota rates for HCPCS 87910

Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $242.00 / $242.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.49 / $200.81 / $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 / $345.24 / $472.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $180.11 / $529.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.22 / $564.22 / $721.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.94 / $524.50 / $721.98
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