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South Dakota rates for HCPCS 78268

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $87.10 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $107.15 / $173.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $138.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $56.23 / $117.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50