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South Dakota rates for HCPCS 84138

Pregnanetriol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $40.74 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $28.84 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $13.18 / $26.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.18 / $33.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89