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South Dakota rates for HCPCS 84431

Thromboxane metabolite(s), including thromboxane if performed, urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.00 / $33.00 / $33.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.52 / $33.00 / $33.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $63.97 / $79.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.94 / $39.75 / $166.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $31.60 / $42.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.34 / $42.13 / $64.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.41 / $45.97 / $91.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $81.99 / $96.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $18.54 / $35.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $35.11 / $35.11