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South Dakota rates for HCPCS 86384

Nitroblue Tetrazolium Dye Test Ntd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.79 / $12.79 / $12.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $12.79 / $12.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $27.42 / $27.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $24.81 / $31.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.04 / $18.26 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $12.25 / $23.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $24.95 / $41.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.22 / $25.30 / $35.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $31.78 / $37.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $8.17 / $16.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $13.61 / $13.61