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South Dakota rates for HCPCS 84252

Assay Of Riboflavin-Vitamin B-2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.03 / $73.84 / $73.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $18.22 / $19.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $40.47 / $40.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.54 / $37.21 / $46.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $32.45 / $109.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $18.22 / $41.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.12 / $41.23 / $63.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.12 / $44.97 / $57.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $47.26 / $55.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $14.16 / $28.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $20.23 / $20.23