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South Dakota rates for HCPCS 86641

Antibody; Cryptococcus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $22.39 / $54.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.00 / $19.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $34.67 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $25.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45