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South Dakota rates for HCPCS 82693

Assay Of Ethylene Glycol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.01 / $14.01 / $14.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $14.01 / $14.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $26.76 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $23.88 / $91.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $13.41 / $30.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.23 / $30.37 / $46.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $33.00 / $42.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $34.79 / $40.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $10.42 / $17.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $14.90 / $14.90