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South Dakota rates for HCPCS 86386

Nuclear Matrix Protein 22 (NMP22), qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $20.47 / $20.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.59 / $20.47 / $20.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.74 / $43.74 / $43.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.78 / $39.17 / $48.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.86 / $24.66 / $103.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $13.07 / $26.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.11 / $39.94 / $48.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $39.94 / $56.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.82 / $50.86 / $59.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $13.07 / $27.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.78 / $21.78 / $21.78