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South Dakota rates for HCPCS 86771

Antibody; Shigella

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.01 / $23.01 / $102.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $23.01 / $23.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.96 / $48.96 / $48.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.08 / $44.39 / $55.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $27.72 / $123.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $22.03 / $29.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.31 / $44.88 / $47.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $35.47 / $63.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $57.16 / $67.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $14.69 / $27.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $24.48 / $24.48