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South Dakota rates for HCPCS 86750

Antibody Plasmodium Malaria

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.40 / $12.40 / $12.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $12.40 / $12.40
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
$12.64 / $21.16 / $116.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $11.87 / $27.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $26.86 / $41.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $29.00 / $37.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.54 / $30.80 / $36.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $9.23 / $15.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $13.19 / $13.19