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South Dakota rates for HCPCS 86021

Antibody identification; leukocyte antibodies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $14.79 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $28.84 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $23.44 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.12 / $20.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $35.48 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.47 / $26.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14