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South Dakota rates for HCPCS 84157

Protein Total Xcpt Refractometry Oth Src

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $27.19 / $28.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $3.76 / $3.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $7.83 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $7.18 / $8.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.83 / $7.34 / $155.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.60 / $7.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $7.45 / $12.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $8.15 / $10.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $9.64 / $10.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $3.60 / $4.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00