go back

South Dakota rates for HCPCS 84578

Urobilinogen, urine; qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $4.20 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.49 / $10.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $5.22 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $4.01 / $6.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $8.19 / $11.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $7.51 / $11.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $10.44 / $12.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.68 / $5.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47