go back

South Dakota rates for HCPCS 80184

Drug Screen Quantitative Phenobarbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.38 / $457.80 / $457.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $14.38 / $46.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.68 / $30.68 / $30.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $27.42 / $34.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.66 / $18.36 / $72.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $13.77 / $23.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $28.06 / $41.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $25.68 / $39.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.85 / $35.72 / $42.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $9.18 / $23.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30