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South Dakota rates for HCPCS 86645

Antibody; cytomegalovirus (CMV), IgM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $72.44 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $32.36 / $40.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $26.92 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.00 / $21.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.90 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $22.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98