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South Dakota rates for HCPCS 86381

Mitochondrial Antibody Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.79 / $61.42 / $75.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $20.84 / $23.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.32 / $46.35 / $57.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $46.72 / $120.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $15.27 / $30.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.54 / $44.54 / $51.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.54 / $42.70 / $51.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $61.32 / $69.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $15.27 / $30.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $25.45 / $25.45