go back

South Dakota rates for HCPCS P9604

Travel allowance, one way in connection with medically necessary laboratory specimen collection drawn from homebound or nursing homebound patient; prorated trip charge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.63 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.51 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.68 / $4.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $12.59 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $21.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $17.78 / $21.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00