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South Dakota rates for HCPCS 81005

Urinalysis Qual/Semiquant Except Immunoassays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.58 / $3.25
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
$2.06 / $3.48 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.16 / $4.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $4.41 / $6.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.80 / $6.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $5.07 / $5.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.16 / $2.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.17