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South Dakota rates for HCPCS 86644

Antibody; cytomegalovirus (CMV)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $72.44 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $12.88 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $27.54 / $34.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $22.91 / $72.44
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