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South Dakota rates for HCPCS 82075

Alcohol (ethanol); breath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $57.54 / $72.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $26.92 / $141.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $30.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $61.66 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $18.20 / $30.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20