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South Dakota rates for HCPCS 84583

Urobilinogen, urine; semiquantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $6.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.75 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.59 / $19.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $7.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $13.80 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $3.63 / $8.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03