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South Dakota rates for HCPCS 84135

Pregnanediol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $19.98 / $19.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.43 / $42.43 / $42.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $38.52 / $48.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.38 / $30.66 / $101.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $19.14 / $39.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $39.01 / $66.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $35.70 / $55.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $49.67 / $58.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $13.39 / $25.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27