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South Dakota rates for HCPCS 86704

Hepatitis B Core Antibody Hbcab Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $93.26 / $163.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.92 / $73.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.15 / $24.15 / $24.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $21.54 / $26.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $22.11 / $136.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $8.43 / $16.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.55 / $24.55 / $37.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.55 / $26.78 / $34.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $28.14 / $33.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $8.43 / $14.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.05 / $12.05