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South Dakota rates for HCPCS 84580

Urobilinogen Urine Quantitative Timed Specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.98 / $8.98 / $8.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $8.98 / $8.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $18.93 / $18.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $17.63 / $22.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.15 / $11.38 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $8.60 / $14.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $17.50 / $26.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $16.03 / $24.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $22.30 / $26.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.73 / $11.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55