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South Dakota rates for HCPCS 86692

Antibody Hep Delta Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.13 / $16.13 / $16.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $16.13 / $16.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $33.95 / $33.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $31.33 / $39.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.45 / $27.52 / $103.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $15.44 / $35.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.14 / $34.96 / $53.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $38.00 / $49.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.95 / $40.07 / $47.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $12.01 / $20.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $17.16 / $17.16