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South Dakota rates for HCPCS 80051

Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $114.00 / $176.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $6.11 / $10.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.71 / $13.71 / $13.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $13.06 / $16.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $11.26 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $6.31 / $14.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $14.29 / $21.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $15.58 / $20.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $16.89 / $19.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.91 / $8.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $7.01 / $7.01