go back

South Dakota rates for HCPCS 0143U

Drug Assay Def 120+ Rx/Metabolites Urine W/Mrm

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.75 / $126.75 / $158.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.92 / $165.92 / $165.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.25 / $200.25 / $200.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.25 / $200.25 / $200.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.63 / $163.63 / $171.65