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South Dakota rates for HCPCS 86294

Immunoassay Tumor Antigen Qual/Semiquantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.04 / $24.04 / $24.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $24.04 / $24.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.92 / $50.92 / $50.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.32 / $46.35 / $57.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.50 / $31.46 / $121.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $23.01 / $40.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $46.88 / $70.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.67 / $46.88 / $66.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $59.71 / $70.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $15.34 / $30.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.57 / $25.57 / $25.57