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South Dakota rates for HCPCS 86160

Complement; antigen, each component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $147.91 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $21.38 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $22.91 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $21.88 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.94 / $16.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $28.84 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.32 / $20.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02