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South Dakota rates for HCPCS 81020

Urinalysis; 2 or 3 glass test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $9.55 / $12.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.89 / $16.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.07 / $5.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.00 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.07 / $6.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68