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South Dakota rates for HCPCS 86711

Antibody; JC (John Cunningham) virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.88 / $15.88 / $15.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $15.88 / $15.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $33.95 / $33.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $30.68 / $38.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.19 / $23.07 / $80.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $15.20 / $29.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.80 / $30.96 / $40.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.77 / $31.98 / $44.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $39.44 / $46.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $15.20 / $19.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $16.89 / $16.89