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South Dakota rates for HCPCS 86364

Tissue transglutaminase, each immunoglobulin (Ig) class

Facilitymedian $68 · 10th–90th $19$1700%10%10th90th$68Professionalmedian $10 · 10th–90th $8$740%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0

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
$20.89 / $67.61 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.23 / $74.13
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $21.38
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $20.42 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $27.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $60.26 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $13.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $26.92 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $15.14
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48