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South Dakota rates for HCPCS 86612

Antibody; Blastomyces

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $12.13 / $70.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $66.59 / $73.87
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
$12.36 / $20.68 / $90.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $11.61 / $23.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $26.28 / $40.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $21.65 / $35.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $30.12 / $35.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $11.61 / $17.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $12.90 / $12.90