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South Dakota rates for HCPCS 83069

Hemoglobin Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.71 / $3.71
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 / $5.67 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $3.56 / $5.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $8.05 / $12.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $8.77 / $11.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $9.22 / $10.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.37 / $4.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95