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South Dakota rates for HCPCS Q0115

Postcoital direct, qualitative examinations of vaginal or cervical mucous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $23.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.75 / $23.50 / $23.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $25.88 / $32.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.31 / $28.31 / $118.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $15.00 / $30.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $33.75 / $41.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.96 / $30.00 / $65.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $58.38 / $68.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $15.00 / $25.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00