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South Dakota rates for HCPCS 84155

Protein Xcpt Refractometry Serum Plasma/Whl Bld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $72.50 / $100.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.30 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $7.18 / $7.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.53 / $8.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $5.87 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.57 / $5.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.74 / $7.45 / $11.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $8.05 / $10.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $8.84 / $10.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $2.57 / $4.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $3.67 / $3.67