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South Dakota rates for HCPCS 83026

Hemoglobin Copper Sulfate Method Non-Automated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.81 / $3.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $7.83 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $7.18 / $8.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.55 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.59 / $4.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $7.36 / $8.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $5.54 / $10.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $9.36 / $11.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.59 / $4.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01