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South Dakota rates for HCPCS 86603

Antibody; adenovirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $12.10 / $12.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.10 / $12.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $23.50 / $29.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $20.63 / $72.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $11.58 / $23.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $26.22 / $40.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $21.60 / $35.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $30.05 / $35.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $11.58 / $15.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $12.87 / $12.87