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South Dakota rates for HCPCS 80200

Drug Screen Quantitative Tobramycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.16 / $15.16 / $15.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $15.16 / $15.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $31.99 / $31.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $29.38 / $36.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.46 / $25.85 / $115.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $14.52 / $33.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $32.85 / $50.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $35.83 / $46.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.33 / $37.67 / $44.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $11.28 / $19.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $16.13 / $16.13