go back

South Dakota rates for HCPCS 84202

Protoporphyrin, RBC; quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.88 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $27.54 / $34.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $22.39 / $54.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.00 / $19.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $34.67 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $25.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45