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South Dakota rates for HCPCS 84035

Assay Of Phenylketones Qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.74 / $3.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $7.83 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $7.18 / $8.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $5.87 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $3.58 / $7.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $7.45 / $12.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $8.13 / $10.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $9.59 / $10.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.56 / $4.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98