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South Dakota rates for HCPCS 89055

Leukocyte assessment, fecal, qualitative or semiquantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $104.71 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.80 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.32 / $10.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $6.92 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.68 / $6.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $11.22 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.68 / $7.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27