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South Dakota rates for HCPCS 82376

Carboxyhemoglobin; qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $13.23 / $13.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $13.23 / $13.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $28.07 / $28.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $25.46 / $31.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $13.28 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $12.33 / $16.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $18.36 / $25.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $16.63 / $36.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $32.85 / $38.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $8.36 / $14.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.07 / $14.07 / $14.07