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South Dakota rates for HCPCS 80176

Drug Screen Quantitative Lidocaine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $16.07 / $19.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $26.76 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.07 / $23.55 / $77.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $13.22 / $30.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $29.93 / $46.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $31.41 / $40.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.29 / $40.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $10.28 / $17.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $14.69 / $14.69