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South Dakota rates for HCPCS 84202

Protoporphyrin, RBC; quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.01 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.72 / $28.72 / $28.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $26.11 / $32.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.74 / $22.99 / $102.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.92 / $29.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $29.23 / $44.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $24.08 / $38.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $33.51 / $39.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.03 / $17.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $14.35 / $14.35