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South Dakota rates for HCPCS 83704

Lipoprotein Blood Quan Numbers & Subclasses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.14 / $32.14 / $32.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.82 / $28.60 / $32.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $62.02 / $77.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $50.57 / $162.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $30.77 / $64.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.12 / $64.29 / $97.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.12 / $70.11 / $90.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $82.37 / $93.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $22.07 / $41.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $34.19 / $34.19