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South Dakota rates for HCPCS 86803

Hepatitis C Antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.85 / $94.50 / $169.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $12.84 / $97.90
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
$16.16 / $54.09 / $114.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $9.98 / $19.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.41 / $29.06 / $44.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $31.70 / $40.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $33.32 / $39.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $9.98 / $17.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $14.27 / $14.27