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South Dakota rates for HCPCS 86631

Antibody Chlamydia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.11 / $11.11 / $11.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.47 / $10.30 / $11.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $23.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $21.54 / $26.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $18.95 / $73.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $10.64 / $21.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $24.10 / $37.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $19.82 / $32.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $27.60 / $32.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $7.43 / $14.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82