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South Dakota rates for HCPCS 80152

Drug Screen Quantitative Amitriptyline

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.39 / $44.39 / $44.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $44.39 / $55.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.81 / $74.14 / $90.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $40.00 / $51.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $35.59 / $40.03