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South Dakota rates for HCPCS 83873

Myelin Basic Protein Cerebrospinal Fluid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.17 / $16.17 / $16.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $16.17 / $16.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.60 / $34.60 / $34.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $31.33 / $39.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.47 / $27.58 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $15.48 / $35.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.20 / $35.06 / $53.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $38.00 / $49.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.09 / $41.44 / $47.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $12.04 / $24.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $17.20 / $17.20