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South Dakota rates for HCPCS 84133

Potassium Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $12.04 / $47.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.84 / $5.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.14 / $11.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $6.90 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $4.26 / $8.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $8.78 / $14.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $9.57 / $12.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $11.05 / $12.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $3.01 / $5.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73