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South Dakota rates for HCPCS 84146

Prolactin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.21 / $128.29 / $630.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $17.05 / $113.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $35.25 / $44.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $45.58 / $146.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $13.56 / $27.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.01 / $39.47 / $60.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.01 / $43.00 / $55.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $45.25 / $53.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $13.56 / $23.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $19.38