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South Dakota rates for HCPCS 84402

Assay Of Testosterone Free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.45 / $157.10 / $380.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $22.67 / $67.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.92 / $50.92 / $50.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.32 / $46.35 / $57.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.40 / $54.94 / $193.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $22.92 / $51.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $51.91 / $79.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $56.00 / $72.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.58 / $59.47 / $69.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $22.92 / $30.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $25.47 / $25.47