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South Dakota rates for HCPCS 83789

Mass Spect&Tandem Mass Spect Nondrg Anal Nes Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.66 / $22.66 / $22.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $22.66 / $240.30
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
$23.09 / $28.96 / $188.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $21.70 / $37.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $44.21 / $64.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $40.46 / $62.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $56.30 / $66.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $14.47 / $28.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.11 / $24.11 / $24.11