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South Dakota rates for HCPCS 0144U

Drug assay, definitive, 160 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metabolite description, comments including sample validation, per date of service

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