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South Dakota rates for HCPCS 86255

Fluorescent Nonnfct Agt Antb Screen Ea Antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $73.53 / $16,955.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $21.00 / $73.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $33.29 / $33.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $33.95 / $42.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $31.40 / $133.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $8.43 / $16.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.57 / $33.07 / $54.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $29.11 / $48.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $29.03 / $33.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $10.85 / $39.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.05 / $12.05