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South Dakota rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.05 / $123.05 / $347.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $19.94 / $73.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $21.54 / $26.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $60.00 / $157.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $7.23 / $14.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $21.09 / $21.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $21.09 / $23.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $29.03 / $33.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $10.38 / $12.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.05 / $12.05