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South Dakota rates for HCPCS 83021

Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $81.28 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.85 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $34.67 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $28.84 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.59 / $25.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $43.65 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $12.59 / $31.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20