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South Dakota rates for HCPCS 86806

Lymphocytotoxicity assay, visual crossmatch; without titration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.73 / $44.73 / $44.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $44.73 / $44.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.66 / $94.66 / $94.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.52 / $86.17 / $107.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $76.29 / $227.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.55 / $42.83 / $97.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.41 / $96.97 / $149.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.41 / $105.00 / $136.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.47 / $111.13 / $130.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $33.29 / $57.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.59 / $47.59 / $47.59