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South Dakota rates for HCPCS 84155

Protein, total, except by refractometry; serum, plasma or whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $33.88 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.31 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $6.92 / $8.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $5.89 / $91.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.57 / $5.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $9.55 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.57 / $6.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63