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South Dakota rates for HCPCS 84207

Assay Of Pyridoxal Phosphate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $88.20 / $313.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.27 / $25.28 / $200.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.14 / $56.14 / $56.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.21 / $50.92 / $63.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.93 / $56.33 / $137.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $25.29 / $57.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.25 / $57.26 / $88.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $47.16 / $77.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $65.62 / $77.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $19.66 / $57.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $28.10 / $28.10