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South Dakota rates for HCPCS 86353

Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.09 / $46.09 / $46.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.85 / $46.09 / $255.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.92 / $97.92 / $97.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.58 / $89.43 / $111.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.98 / $78.59 / $368.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $44.13 / $100.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.27 / $99.87 / $153.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.27 / $103.40 / $135.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.06 / $114.49 / $134.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $34.29 / $58.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $49.03