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South Dakota rates for HCPCS 84442

Thyroxine binding globulin (TBG)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.89 / $13.89 / $13.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $13.89 / $13.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $26.76 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.16 / $23.70 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $13.30 / $19.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $30.13 / $46.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $32.85 / $42.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $34.51 / $40.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $8.86 / $17.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.78 / $14.78 / $14.78