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South Dakota rates for HCPCS 84540

Urea nitrogen, urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $21.01 / $69.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.24 / $5.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $11.10 / $11.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $9.78 / $12.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.33 / $7.61 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $5.00 / $9.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $10.19 / $16.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $10.55 / $14.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $12.98 / $15.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $5.00 / $6.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $5.56