go back

South Dakota rates for HCPCS 83864

Mucopolysaccharides, acid, quantitative

Facilitymedian $55 · 10th–90th $26–$550%50%10th$55Professionalmedian $55 · 10th–90th $19–$3240%10%10th90th$55$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.80 / $33.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $58.88 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $25.70 / $34.67
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18