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South Dakota rates for HCPCS P9604

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $10.43 / $10.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $8.49 / $10.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.69 / $4.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.48 / $12.61 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $18.39 / $21.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $5.43 / $12.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $5.51 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $18.54 / $22.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $9.98 / $9.98