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South Dakota rates for HCPCS 86677

Antibody Helicobacter Pylori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $15.84 / $15.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.29 / $17.35 / $25.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $33.29 / $33.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $30.68 / $38.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $23.26 / $80.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $15.17 / $29.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.75 / $30.90 / $51.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $32.24 / $43.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $39.35 / $46.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $15.17 / $20.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $16.85