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South Dakota rates for HCPCS 86708

Hepatitis A antibody (HAAb)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.65 / $101.26 / $129.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $11.15 / $67.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.81 / $24.81 / $24.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $22.20 / $27.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $22.74 / $116.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $11.15 / $25.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.99 / $25.23 / $38.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $27.16 / $35.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $28.93 / $34.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $8.66 / $14.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.39 / $12.39