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South Dakota rates for HCPCS 86780

Antibody Treponema Pallidum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.50 / $71.34 / $192.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $12.02 / $73.87
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
$14.99 / $26.38 / $150.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.26 / $18.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $26.98 / $41.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $20.02 / $36.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $31.90 / $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