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South Dakota rates for HCPCS 81020

Urinalysis 2/3 Glass Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $4.42 / $4.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $4.42 / $4.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.14 / $11.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $5.91 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.05 / $7.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $8.61 / $13.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $8.19 / $12.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $10.97 / $12.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.05 / $6.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.70 / $4.70