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South Dakota rates for HCPCS 83876

Myeloperoxidase Mpo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.81 / $47.81 / $47.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.43 / $47.81 / $50.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.18 / $101.18 / $101.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $92.04 / $115.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.01 / $57.60 / $241.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.75 / $45.77 / $69.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.63 / $93.26 / $107.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $75.43 / $132.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $118.76 / $139.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $30.52 / $61.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.86 / $50.86 / $50.86