go back

South Dakota rates for HCPCS 84138

Pregnanetriol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.79 / $19.79 / $19.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $19.79 / $19.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.78 / $41.78 / $41.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $38.52 / $48.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.16 / $30.36 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $18.95 / $38.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.16 / $38.59 / $65.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.16 / $42.07 / $54.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.92 / $49.15 / $57.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $13.24 / $27.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $21.05 / $21.05