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South Dakota rates for HCPCS G0472

Hepatitis C antibody screening for individual at high risk and other covered indication(s)

Facilitymedian $166 · 10th–90th $43–$6610%10%10th90th$166Professionalmedian $43 · 10th–90th $21–$690%10%20%10th90th$43$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $165.96 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $36.31 / $46.77
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $46.77 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $60.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $85.11 / $218.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.50 / $46.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $107.15 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $27.54 / $56.23
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77