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South Dakota rates for HCPCS 0165U

Peanut Allg Spec Asmt Mlt Epi Elisa Bld Prob All

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.93 / $435.93 / $435.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.72 / $435.93 / $435.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.51 / $842.76 / $1,053.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.69 / $525.12 / $2,202.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.52 / $417.38 / $695.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.51 / $811.58 / $912.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.51 / $811.58 / $1,016.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $1,117.33 / $1,274.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.78 / $278.26 / $556.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.76 / $463.76 / $463.76