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South Dakota rates for HCPCS 84445

Thyroid Stimulating Immune Globulins Tsi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.81 / $128.65 / $408.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.06 / $45.42 / $47.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.18 / $101.18 / $101.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.23 / $92.04 / $115.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $81.52 / $242.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.52 / $35.58 / $71.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.63 / $103.62 / $159.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.63 / $112.00 / $145.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.25 / $118.76 / $139.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $35.58 / $61.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.86 / $50.86 / $50.86