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South Dakota rates for HCPCS 84315

Specific Gravity Except Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.08 / $3.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.08 / $3.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $6.53 / $6.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.88 / $7.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $4.01 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.95 / $5.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $6.01 / $8.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.00 / $8.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $7.66 / $9.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.75 / $3.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.28 / $3.28