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South Dakota rates for HCPCS 86738

Antibody; mycoplasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.45 / $12.45 / $70.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $23.58 / $145.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.11 / $26.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $24.15 / $30.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $21.22 / $83.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $11.92 / $27.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $26.98 / $41.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $22.22 / $36.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $30.92 / $36.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $9.26 / $15.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.24 / $13.24