go back

South Dakota rates for HCPCS G0472

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.01 / $167.08 / $532.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $36.15 / $46.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.38 / $48.38 / $60.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.61 / $82.72 / $220.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $27.81 / $46.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.40 / $62.57 / $76.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $63.34 / $120.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.35 / $111.67 / $127.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $19.47 / $46.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.35 / $46.35 / $46.35