go back

South Dakota rates for HCPCS 86645

Antibody Cytomegalovirus Cmv Igm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $70.16 / $72.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $15.05 / $80.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $33.29 / $33.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $30.68 / $38.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $27.01 / $89.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $10.11 / $21.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.75 / $34.33 / $52.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $37.00 / $48.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $39.35 / $46.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.11 / $20.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $16.85