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South Dakota rates for HCPCS 86152

Cell Enumeration Immune Selectj & Id Fluid Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.73 / $235.73 / $235.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.02 / $235.73 / $235.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.04 / $500.04 / $500.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.27 / $455.65 / $569.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.27 / $393.92 / $1,191.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.47 / $225.70 / $505.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.62 / $500.59 / $677.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.62 / $546.00 / $672.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.17 / $604.20 / $688.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.33 / $171.89 / $300.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.78 / $250.78 / $250.78