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South Dakota rates for HCPCS 81003

Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.21 / $43.32 / $86.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.67 / $36.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.92 / $4.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $13.35 / $53.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.25 / $3.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $4.55 / $7.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.99 / $6.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $5.25 / $6.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.25 / $2.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25