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South Dakota rates for HCPCS 86628

Antibody Candida

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.29 / $11.29 / $11.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.29 / $31.20 / $32.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.15 / $24.15 / $24.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $21.54 / $26.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $19.25 / $78.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.81 / $14.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.50 / $24.46 / $37.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $25.86 / $33.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.01 / $28.04 / $32.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $10.81 / $15.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.01 / $12.01 / $12.01