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South Dakota rates for HCPCS 86162

Complement; total hemolytic (CH50)

Facilitymedian $58 · 10th–90th $19–$1380%20%10th90th$58Professionalmedian $19 · 10th–90th $14–$1480%20%40%10th90th$19$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $60.26 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.62 / $147.91
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.90 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $31.62 / $91.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.13 / $28.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $18.20 / $28.18
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42