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South Dakota rates for HCPCS 84160

Protein, total, by refractometry, any source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $5.27 / $5.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $5.27 / $6.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $11.10 / $11.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $9.78 / $12.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $8.30 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $5.05 / $7.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $10.55 / $17.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $11.50 / $14.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $13.10 / $15.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.37 / $6.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $5.61 / $5.61