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South Dakota rates for HCPCS 80201

Drug Screen Quantitative Topiramate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $628.66 / $628.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $11.20 / $88.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.93 / $22.93 / $22.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $21.54 / $26.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.43 / $19.12 / $86.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $10.73 / $24.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.38 / $24.28 / $37.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $26.13 / $34.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $27.83 / $32.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.34 / $14.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $11.92 / $11.92