go back

South Dakota rates for HCPCS 86885

Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $120.23 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.96 / $13.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $8.91 / $23.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.98 / $7.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $14.79 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.98 / $10.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75