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South Dakota rates for HCPCS 78267

Urea breath test, C-14 (isotopic); acquisition for analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $24.55 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $12.59 / $20.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $16.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.91 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.61 / $13.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96