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South Dakota rates for HCPCS 86689

Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)

Facilitymedian $37 · 10th–90th $18–$370%50%10th$37Professionalmedian $19 · 10th–90th $13–$520%20%10th90th$19$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.20 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $21.88 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.49 / $26.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $17.38 / $26.92
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50