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South Dakota rates for HCPCS 84439

Assay Of Free Thyroxine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $92.43 / $252.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $9.02 / $72.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.28 / $18.28 / $18.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $16.32 / $20.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.21 / $44.48 / $139.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $5.41 / $14.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $18.36 / $27.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $19.42 / $25.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.64 / $21.06 / $24.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $8.11 / $11.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02