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South Dakota rates for HCPCS 84480

Assay Of Triiodothyronine T3 Total Tt3

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.33 / $83.36 / $430.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $12.87 / $31.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $28.07 / $28.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $26.11 / $32.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.59 / $21.91 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $9.92 / $19.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $28.88 / $44.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $25.05 / $38.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $33.11 / $38.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $9.92 / $17.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $14.18 / $14.18