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South Dakota rates for HCPCS 84578

Urobilinogen, urine; qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.91 / $11.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $5.01 / $19.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.29 / $5.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $9.12 / $12.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.69 / $5.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47