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South Dakota rates for HCPCS 86753

Antibody; protozoa, not elsewhere specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $74.13 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $17.38 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $23.44 / $29.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $14.13 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $17.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $28.18 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.41 / $21.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30