go back

South Dakota rates for HCPCS 86817

HLA typing; DR/DQ, multiple antigens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.77 / $99.77 / $99.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.11 / $99.77 / $99.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.51 / $211.51 / $211.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $192.58 / $240.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.17 / $120.18 / $504.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.04 / $95.53 / $132.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.96 / $194.62 / $231.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.35 / $176.23 / $277.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.14 / $247.85 / $291.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.58 / $63.68 / $127.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.14 / $106.14 / $106.14