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South Dakota rates for HCPCS 86255

Fluorescent noninfectious agent antibody; screen, each antibody

Facilitymedian $74 · 10th–90th $21$6760%20%10th90th$74Professionalmedian $32 · 10th–90th $10$740%20%10th90th$32$10.0$50.0$200.0$1.0K$5.0K

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
$41.69 / $77.62 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $20.89 / $74.13
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $12.30 / $18.20
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.30 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $35.48 / $44.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $31.62 / $52.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.51 / $16.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $31.62 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.96 / $38.90
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02