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South Dakota rates for HCPCS 88720

Bilirubin Total Transcutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.72 / $27.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $7.11 / $29.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $9.78 / $9.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.14 / $11.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $8.03 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $5.50 / $12.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.21 / $11.15 / $15.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $11.15 / $14.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $12.09 / $13.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $5.50 / $9.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01