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South Dakota rates for HCPCS 86688

Antibody Htlv-Ii

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $13.16 / $13.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $13.16 / $13.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $28.07 / $28.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $25.46 / $31.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.41 / $16.01 / $81.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $12.60 / $20.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.86 / $28.53 / $34.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.86 / $23.49 / $36.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.43 / $32.69 / $38.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $8.40 / $19.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00