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South Dakota rates for HCPCS 86644

Antibody; cytomegalovirus (CMV)

Facilitymedian $72 · 10th–90th $16–$7410%20%10th90th$72Professionalmedian $13 · 10th–90th $10–$760%20%40%10th90th$13$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $72.44 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $77.62
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $14.45 / $21.38
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.45 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $22.91 / $72.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $19.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.88 / $19.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45