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South Dakota rates for HCPCS 84035

Phenylketones, qualitative

Facilitymedian $8 · 10th–90th $3$80%50%10th$8Professionalmedian $3 · 10th–90th $2$100%20%10th90th$3$2.0$5.0$10.0$20.0$50.0$100.0

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
$3.02 / $3.02 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.59 / $9.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.50 / $16.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.57 / $5.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $3.55 / $5.25
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98