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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
$18.20 / $81.28 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $32.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $34.67 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $28.84 / $87.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.00 / $21.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.90 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $12.59 / $23.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20