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South Dakota rates for HCPCS 86658

Antibody; enterovirus (eg, coxsackie, echo, polio)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.25 / $12.25 / $12.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $11.82 / $94.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.11 / $26.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $23.50 / $29.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $20.89 / $158.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $11.73 / $23.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $26.53 / $40.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $21.87 / $35.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $30.43 / $35.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $7.85 / $15.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $13.03 / $13.03