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South Dakota rates for HCPCS 86171

Complement fixation tests, each antigen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.41 / $9.41 / $9.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $9.41 / $9.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $20.23 / $20.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $18.28 / $22.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $11.34 / $130.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $9.01 / $20.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.45 / $13.02 / $20.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.45 / $16.78 / $26.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $23.37 / $27.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $9.01 / $12.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.01 / $10.01 / $10.01