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South Dakota rates for HCPCS 84375

Sugars, chromatographic, TLC or paper chromatography

Facilitymedian $76 · 10th–90th $36–$760%50%10th$76Professionalmedian $36 · 10th–90th $26–$930%20%10th90th$36$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
$36.31 / $36.31 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $93.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $87.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $40.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $79.43 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $27.54 / $44.67
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90