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South Dakota rates for HCPCS 86687

Antibody Htlv-I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.53 / $8.53 / $8.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $10.02 / $13.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.28 / $18.28 / $18.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $16.32 / $20.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $13.45 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $8.18 / $17.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.74 / $17.09 / $28.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $17.09 / $23.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $21.23 / $24.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $5.87 / $10.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $9.09 / $9.09