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South Dakota rates for HCPCS U0004

2019-nCoV coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets), non-CDC, making use of high throughput technologies as described by CMS-2020-01-R

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $93.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $112.20