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South Dakota rates for HCPCS 83030

Hemoglobin F Fetal Chemical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.10 / $10.10 / $10.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $10.10 / $10.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.54 / $21.54 / $21.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $19.57 / $24.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $13.26 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.67 / $17.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.87 / $19.70 / $28.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.51 / $18.02 / $28.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $25.08 / $29.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.44 / $12.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $10.74 / $10.74