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South Dakota rates for HCPCS 0176U

Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.34 / $60.34 / $60.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.01 / $60.34 / $60.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.95 / $127.95 / $127.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.25 / $116.20 / $145.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.59 / $72.69 / $304.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.74 / $57.77 / $96.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.03 / $117.38 / $126.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $126.33 / $167.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.19 / $154.65 / $176.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $57.77 / $64.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.19 / $64.19 / $64.19