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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
$7.94 / $60.26 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.17 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $13.80 / $17.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $10.96 / $26.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.90 / $9.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $18.20 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $4.90 / $12.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08