go back

South Dakota rates for HCPCS 82104

Alpha-1-Antitrypsin Phenotype

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.59 / $51.46 / $197.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $13.59 / $86.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.72 / $28.72 / $28.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $26.76 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.86 / $26.55 / $181.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $13.01 / $29.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $29.46 / $45.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $32.00 / $41.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.62 / $33.77 / $39.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $10.11 / $17.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46