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South Dakota rates for HCPCS 82375

Carboxyhemoglobin Quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $99.31 / $196.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $10.96 / $14.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.81 / $24.81 / $24.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $22.20 / $27.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $19.76 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $11.09 / $23.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $25.10 / $38.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $27.01 / $35.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.85 / $28.77 / $33.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $8.08 / $14.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.32 / $12.32