go back

South Dakota rates for HCPCS 86834

Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.11 / $336.11 / $336.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.57 / $336.11 / $336.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.86 / $712.86 / $712.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.94 / $649.54 / $811.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.59 / $573.25 / $1,698.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.54 / $321.80 / $735.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.40 / $728.47 / $1,002.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.40 / $794.58 / $1,024.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.34 / $861.47 / $982.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.18 / $250.14 / $429.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.56 / $357.56 / $357.56