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South Dakota rates for HCPCS 86317

Immunoassay for infectious agent antibody, quantitative, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $131.83 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $26.30 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $23.99 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.47 / $20.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $36.31 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.47 / $25.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14