go back

South Dakota rates for HCPCS 84583

Urobilinogen, urine; semiquantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.69 / $5.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $11.10 / $13.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $8.08 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.45 / $10.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.81 / $11.10 / $18.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $11.18 / $15.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $14.13 / $16.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.63 / $7.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.05