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South Dakota rates for HCPCS 86664

Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)

Facilitymedian $78 · 10th–90th $14$1200%10%20%10th90th$78Professionalmedian $14 · 10th–90th $13$890%20%40%10th90th$14$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $77.62 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.80 / $89.13
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.49 / $22.91
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.49 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.84 / $36.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $24.55 / $72.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.12 / $21.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $35.48 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $13.80 / $21.38
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14