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South Dakota rates for HCPCS 84580

Urobilinogen, urine; quantitative, timed specimen

Facilitymedian $19 · 10th–90th $8–$190%20%40%10th$19Professionalmedian $8 · 10th–90th $6–$230%20%10th90th$8$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $18.62 / $23.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $28.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $11.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $19.50 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $8.51 / $12.30
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55