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South Dakota rates for HCPCS 83013

Hpylori Breath Anal Urease Act Non-Radact Istope

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.81 / $309.64 / $655.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.70 / $61.07 / $301.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.47 / $143.47 / $143.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $122.07 / $152.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.54 / $107.98 / $321.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $47.12 / $94.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.92 / $137.22 / $211.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.92 / $137.22 / $183.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $157.29 / $185.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.29 / $47.12 / $80.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.36 / $67.36 / $67.36