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South Dakota rates for HCPCS 86625

Antibody Campylobacter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $12.33 / $12.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $12.33 / $12.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.11 / $26.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $24.15 / $30.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $21.04 / $111.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $11.81 / $27.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.93 / $26.73 / $41.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $29.00 / $37.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.43 / $30.64 / $36.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $9.18 / $15.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $13.12 / $13.12