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South Dakota rates for HCPCS 86805

Lymphocytotoxicity Assay Vis Crossmatch Titratj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.14 / $178.14 / $178.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.97 / $178.14 / $178.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.97 / $377.97 / $377.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.65 / $344.03 / $430.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.83 / $198.24 / $900.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.58 / $113.71 / $227.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.20 / $247.38 / $347.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.06 / $149.81 / $494.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.08 / $442.52 / $520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.58 / $107.60 / $217.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.51 / $189.51 / $189.51