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South Dakota rates for HCPCS 84119

Porphyrins, urine; qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.56 / $12.56 / $12.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $12.56 / $12.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.76 / $26.76 / $26.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $24.15 / $30.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $15.13 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $12.02 / $17.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.23 / $24.49 / $29.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $22.41 / $34.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $31.20 / $36.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $8.02 / $17.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.36 / $13.36 / $13.36