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South Dakota rates for HCPCS 83664

Fetal Lung Maturity Lamellar Body Density

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.16 / $18.16 / $18.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $18.16 / $18.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $35.25 / $44.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.50 / $30.33 / $91.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $17.39 / $38.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $38.53 / $60.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $28.60 / $52.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $45.11 / $53.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $13.23 / $23.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32