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South Dakota rates for HCPCS 84392

Assay Of Sulfate Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $13.47 / $25.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.23 / $5.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $11.10 / $11.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $9.78 / $12.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $7.61 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.94 / $9.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $10.06 / $16.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $9.21 / $14.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $12.82 / $15.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.32 / $6.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $5.49 / $5.49