go back

South Dakota rates for HCPCS 86632

Antibody Chlamydia Igm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $11.92 / $11.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $11.06 / $11.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $22.85 / $28.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.16 / $20.35 / $86.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $11.41 / $21.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $25.85 / $39.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $21.28 / $34.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $29.61 / $34.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $7.61 / $15.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.68 / $12.68 / $12.68