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South Dakota rates for HCPCS 86664

Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $77.87 / $2,279.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $13.76 / $89.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.68 / $30.68 / $30.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $27.42 / $34.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.64 / $24.52 / $73.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $10.00 / $21.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $31.15 / $47.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $25.66 / $41.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $35.70 / $42.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $9.17 / $18.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $15.29