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South Dakota rates for HCPCS 83921

Organic acid, single, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.94 / $83.79 / $436.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $15.22 / $27.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.43 / $42.43 / $42.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $38.52 / $48.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $26.37 / $330.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $19.09 / $25.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.37 / $38.89 / $58.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $36.56 / $55.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.21 / $49.53 / $58.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $12.73 / $25.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.21 / $21.21 / $21.21