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South Dakota rates for HCPCS 84520

Urea nitrogen; quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.40 / $44.77 / $91.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.71 / $5.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $7.83 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $7.18 / $8.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $7.26 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.56 / $8.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $8.05 / $12.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $8.77 / $11.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $9.52 / $10.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.76 / $4.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95