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South Dakota rates for HCPCS 84203

Protoporphyrin Rbc Screen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $9.16 / $9.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $9.16 / $9.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.57 / $19.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $17.63 / $22.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $13.80 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $8.77 / $11.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $17.87 / $29.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $19.13 / $25.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $22.74 / $26.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.84 / $11.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $9.74 / $9.74