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South Dakota rates for HCPCS 84999

Unlisted Chemistry Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $28.35 / $5,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,734.76 / $4,734.76 / $4,734.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,025.44 / $4,734.76 / $5,918.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $212.00 / $212.00