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South Dakota rates for HCPCS 86701

Antibody; HIV-1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $45.71 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.76 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.60 / $20.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.72 / $50.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $6.17 / $12.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.38 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $6.17 / $15.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91