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South Dakota rates for HCPCS 81377

HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $190.55 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $229.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $107.15 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $64.57 / $478.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $64.57 / $125.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50