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South Dakota rates for HCPCS 84110

Porphobilinogen, urine; quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $16.73 / $29.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.65 / $7.53 / $7.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.97 / $16.97 / $16.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $15.01 / $18.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.08 / $13.53 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $7.60 / $12.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $17.20 / $26.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.17 / $23.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $19.71 / $23.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $5.05 / $10.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8.44