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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
$7.94 / $7.94 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $18.62 / $23.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.96 / $28.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $11.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $19.50 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.75 / $12.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55