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South Dakota rates for HCPCS 84275

Assay Of Sialic Acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.63 / $12.63 / $12.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $12.63 / $12.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.76 / $26.76 / $26.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $24.81 / $31.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.87 / $21.54 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $12.10 / $27.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.35 / $27.38 / $42.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $29.86 / $38.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.95 / $31.38 / $36.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $9.40 / $16.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $13.44