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South Dakota rates for HCPCS 84126

Porphyrins Feces Quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.76 / $36.76 / $36.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $36.76 / $36.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.68 / $77.68 / $77.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $71.16 / $88.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.47 / $44.28 / $185.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $35.20 / $52.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.55 / $71.72 / $90.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.55 / $56.00 / $102.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.93 / $91.33 / $107.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.43 / $23.47 / $46.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $39.11 / $39.11