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South Dakota rates for HCPCS 89055

Leukocyte Assmt Fecal Qual/Semiquantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $105.28 / $1,051.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.84 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.49 / $8.49 / $8.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $7.83 / $9.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $6.85 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $4.69 / $8.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $8.72 / $13.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $9.36 / $12.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $10.29 / $11.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $5.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.26