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South Dakota rates for HCPCS 83497

Hydroxyindolacetic acid, 5-(HIAA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $42.67 / $145.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $11.24 / $58.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $23.50 / $29.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.21 / $14.60 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $11.61 / $26.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $23.65 / $26.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $25.05 / $33.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $31.08 / $35.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $9.02 / $15.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $12.90 / $12.90