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South Dakota rates for HCPCS 80050

General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)

Facilitymedian $257 · 10th–90th $112–$6170%5%10%10th90th$257Professionalmedian $74 · 10th–90th $25–$2750%5%10%10th90th$74$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $263.03 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $74.13 / $275.42
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $39.81 / $58.88
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $39.81 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $77.62 / $97.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $81.28 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.99 / $46.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $37.15 / $51.29
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18