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South Dakota rates for HCPCS 84377

Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen

Facilitymedian $10 · 10th–90th $5–$100%50%10th$10Professionalmedian $10 · 10th–90th $3–$630%10%20%10th90th$10$2.0$5.0$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
$5.01 / $5.01 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.23 / $12.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $8.51 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $3.31 / $5.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $12.88 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $3.63 / $7.76
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50