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South Dakota rates for HCPCS 86162

Complement Total Hemolytic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.47 / $57.26 / $137.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $17.71 / $146.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $40.47 / $40.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.54 / $37.21 / $46.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $32.58 / $129.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $18.29 / $41.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.22 / $41.40 / $63.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $41.40 / $55.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $47.45 / $55.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $14.22 / $24.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $20.32 / $20.32