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South Dakota rates for HCPCS 86835

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.58 / $303.58 / $303.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $303.58 / $303.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.66 / $643.66 / $643.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.87 / $586.21 / $732.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.42 / $517.76 / $1,534.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.78 / $290.66 / $664.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.75 / $657.99 / $905.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.75 / $717.69 / $925.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.44 / $778.11 / $887.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.63 / $225.94 / $387.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.95 / $322.95 / $322.95