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South Dakota rates for HCPCS 78267

Urea Breath Test C-14 Isotopic Acquisj Analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.34 / $16.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $24.05 / $30.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.46 / $12.52 / $20.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.64 / $16.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $23.65 / $38.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $23.07 / $28.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.84 / $22.65 / $30.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $5.50 / $10.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $11.06 / $11.06