go back

South Dakota rates for HCPCS 88740

Hemoglobin Quan Tc Per Day Carboxyhemoglobin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.81 / $8.81 / $31.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.28 / $8.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $18.93 / $18.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $16.97 / $21.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $10.61 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.62 / $13.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $16.67 / $17.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $14.42 / $24.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $21.88 / $25.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.62 / $13.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $9.36 / $9.36