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South Dakota rates for HCPCS 86789

Antibody West Nile Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $87.74 / $114.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $12.84 / $95.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.72 / $28.72 / $28.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $26.11 / $32.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.79 / $23.07 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $12.95 / $29.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $29.32 / $44.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $31.98 / $41.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $33.60 / $39.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $10.07 / $17.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $14.39 / $14.39