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South Dakota rates for HCPCS G0499

Hepatitis B Screening In Non-Pregnant High Risk Individual Includes Hepatitis B Surface Antigen (Hbsag) Followed By A Neutralizing Confirmatory Test For Initially Reactive Results And Antibodies To Hbsag (Anti-Hbs) And Hepatitis B Core Antigen (Anti-Hbc).

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.67 / $29.67 / $42.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $29.25 / $36.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.68 / $32.01 / $134.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.96 / $25.44 / $52.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $40.11 / $52.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $47.44 / $73.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $68.11 / $77.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $17.80 / $33.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $28.27 / $28.27