go back

South Dakota rates for HCPCS 80197

Drug Screen Quantitative Tacrolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $126.57 / $331.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $12.27 / $122.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $27.42 / $27.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $24.81 / $31.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $22.01 / $256.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $9.61 / $19.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.72 / $27.97 / $43.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $30.09 / $39.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $33.08 / $37.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $9.61 / $16.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $13.73 / $13.73