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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
$9.72 / $14.15 / $132.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $26.08 / $26.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $27.42 / $34.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $24.13 / $146.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.98 / $13.55 / $26.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.42 / $30.67 / $47.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $33.00 / $43.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.13 / $35.14 / $41.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $13.55 / $19.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $15.05 / $15.05