go back

South Dakota rates for HCPCS 86403

Particle Agglutination Screen Each Antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $10.85 / $10.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $12.18 / $17.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.85 / $22.85 / $22.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $20.89 / $26.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $16.34 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $11.18 / $20.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $21.15 / $36.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $22.65 / $30.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $26.95 / $31.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $11.18 / $15.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54