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South Dakota rates for HCPCS 82143

Amniotic fluid scan (spectrophotometric)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.78 / $8.78 / $8.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $8.78 / $9.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $18.93 / $18.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $16.97 / $21.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $11.02 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $8.42 / $14.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.07 / $17.14 / $23.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $15.69 / $24.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $21.83 / $25.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $5.61 / $11.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $9.35