go back

South Dakota rates for HCPCS 83014

Helicobacter pylori; drug administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $13.49 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.14 / $19.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $12.30 / $29.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.50 / $10.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.50 / $13.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94