go back

South Dakota rates for HCPCS 83505

Hydroxyproline; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.84 / $22.84 / $22.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $22.84 / $22.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.31 / $48.31 / $48.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.08 / $44.39 / $55.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.28 / $38.97 / $173.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $21.87 / $50.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $49.54 / $76.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.36 / $49.54 / $66.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.71 / $58.55 / $66.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $17.00 / $33.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $24.30 / $24.30