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South Dakota rates for HCPCS 86631

Antibody; Chlamydia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.47 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $22.91 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $18.20 / $52.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.41 / $16.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $28.18 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.32 / $20.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75