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South Dakota rates for HCPCS 78268

Urea Breath Test C-14 Isotopic Analysis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.56 / $88.62 / $141.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.84 / $204.01 / $255.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.25 / $106.89 / $173.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.12 / $56.65 / $138.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.83 / $216.62 / $325.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.83 / $189.53 / $246.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $193.34 / $259.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $47.12 / $94.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.41 / $94.41 / $94.41