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South Dakota rates for HCPCS 86828

Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $72.44 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $123.03 / $154.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $72.44 / $302.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $77.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $151.36 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.90 / $81.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57