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South Dakota rates for HCPCS 80173

Drug Screen Quantitative Halopridol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.83 / $14.83 / $14.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $14.83 / $14.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.33 / $31.33 / $31.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $28.72 / $35.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.12 / $23.34 / $101.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $14.20 / $29.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $29.66 / $49.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.37 / $29.66 / $41.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $36.85 / $43.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $10.19 / $18.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $15.78 / $15.78