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South Dakota rates for HCPCS 81001

Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.05 / $72.22 / $134.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $3.17 / $40.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $6.53 / $6.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.88 / $7.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $58.36 / $104.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $3.17 / $4.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $6.45 / $9.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $7.00 / $9.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $7.64 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $3.17 / $3.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17