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South Dakota rates for HCPCS 84105

Phosphorus inorganic (phosphate); urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $14.31 / $44.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.61 / $5.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.44 / $13.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.53 / $8.30 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.20 / $10.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $10.60 / $18.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $11.50 / $15.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $13.50 / $15.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.62 / $6.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $5.78 / $5.78