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South Dakota rates for HCPCS U0003

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique, making use of high throughput technologies as described by CMS-2020-01-R

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.75 / $93.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $165.00 / $165.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.25 / $101.25 / $101.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.25 / $101.25 / $195.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.25 / $107.25 / $112.50