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South Dakota rates for HCPCS 84255

Selenium

Facilitymedian $65 · 10th–90th $25–$1260%10%20%10th90th$65Professionalmedian $23 · 10th–90th $17–$710%20%10th90th$23$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $70.79 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $169.82
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $25.70 / $38.02
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $48.98 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $28.84 / $74.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $17.78 / $35.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $61.66 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $22.91 / $35.48
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70