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South Dakota rates for HCPCS 86376

Microsomal Antibodies Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.68 / $84.87 / $176.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $12.97 / $88.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.72 / $28.72 / $28.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $26.76 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.94 / $23.33 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $10.18 / $20.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.78 / $29.65 / $45.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.78 / $32.00 / $41.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $33.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $13.10 / $19.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.55 / $14.55 / $14.55