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South Dakota rates for HCPCS 83631

Lactoferrin, fecal; quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.45 / $18.45 / $18.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.07 / $17.48 / $18.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.17 / $39.17 / $39.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.72 / $35.90 / $44.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.80 / $31.47 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $17.67 / $40.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $39.99 / $61.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $43.63 / $56.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $47.29 / $53.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $13.73 / $23.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.63 / $19.63 / $19.63