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South Dakota rates for HCPCS 86729

Antibody Lymphogranuloma Venereum

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $30.03 / $37.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.53 / $45.29 / $103.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $13.45 / $13.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $16.05 / $26.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $23.90 / $32.52