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South Dakota rates for HCPCS 86648

Antibody Diphtheria

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $14.30 / $14.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $13.69 / $14.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $27.42 / $34.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $24.37 / $86.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $13.69 / $31.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.63 / $30.99 / $47.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.63 / $33.79 / $43.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.83 / $35.52 / $41.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $10.64 / $18.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.21 / $15.21 / $15.21