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South Dakota rates for HCPCS 84481

Triiodothyronine T3; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.52 / $113.92 / $180.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $15.08 / $112.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $33.95 / $33.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $30.68 / $38.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $27.16 / $120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $11.85 / $23.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.42 / $34.52 / $53.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $28.43 / $46.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.66 / $39.56 / $46.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $11.85 / $20.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $16.94 / $16.94