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South Dakota rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $23 · 10th–90th $11$2880%20%10th90th$23Professionalmedian $11 · 10th–90th $7$280%20%10th90th$11$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $102.33 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $22.91 / $28.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $18.62 / $44.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.01 / $14.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $10.72 / $15.85
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02