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South Dakota rates for HCPCS 84106

Porphobilinogen, urine; qualitative

Facilitymedian $11 · 10th–90th $5–$110%50%10th$11Professionalmedian $5 · 10th–90th $3–$140%20%10th90th$5$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
$5.01 / $5.01 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.96 / $13.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $6.76 / $28.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.02 / $6.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $5.25 / $7.41
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75