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South Dakota rates for HCPCS 86665

Antibody Epstein-Barr Eb Virus Viral Capsid Vca

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.73 / $73.19 / $143.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $30.86 / $153.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $32.64 / $40.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $29.08 / $54,379.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $10.88 / $21.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $36.97 / $56.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $30.44 / $49.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $42.36 / $49.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $10.88 / $21.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14