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South Dakota rates for HCPCS P9603

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.96 / $1.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.28 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.84 / $2.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $1.26 / $1.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.26 / $29.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.85 / $2.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $30.58 / $30.58