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South Dakota rates for HCPCS 80157

Drug Assay Carbamazepine Free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $12.46 / $12.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $12.46 / $12.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.11 / $26.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $24.15 / $30.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.70 / $21.26 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $11.93 / $27.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.10 / $27.01 / $41.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $29.04 / $37.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.65 / $31.92 / $36.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $9.27 / $15.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25