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South Dakota rates for HCPCS 86619

Antibody; Borrelia (relapsing fever)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $12.58 / $12.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $12.58 / $12.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.76 / $26.76 / $26.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $24.15 / $30.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.81 / $21.46 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $12.04 / $27.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $27.23 / $41.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $29.73 / $38.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $31.24 / $36.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $9.36 / $16.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $13.38