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South Dakota rates for HCPCS 84106

Porphobilinogen Urine Qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $5.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $5.47 / $5.47
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
$5.58 / $6.85 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $5.24 / $6.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $10.67 / $14.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $9.76 / $15.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $13.59 / $15.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $5.24 / $7.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $5.82 / $5.82