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South Dakota rates for HCPCS 84166

Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $28.80 / $116.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $17.82 / $96.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $33.95 / $42.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $32.74 / $159.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $16.05 / $36.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.02 / $33.07 / $52.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $33.07 / $48.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.12 / $41.63 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $12.47 / $21.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $17.82 / $17.82