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South Dakota rates for HCPCS 83704

Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.84 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $66.07 / $81.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $48.98 / $162.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $21.88 / $43.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $83.18 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.88 / $47.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88