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South Dakota rates for HCPCS 84577

Assay Of Urobilinogen Feces Quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.79 / $15.79 / $15.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $15.79 / $15.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $33.29 / $33.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $30.68 / $38.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.10 / $20.01 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $15.12 / $25.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.68 / $34.24 / $46.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.87 / $28.19 / $43.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.54 / $39.22 / $46.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $15.12 / $25.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $16.80 / $16.80