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South Dakota rates for HCPCS 86902

Blood Type Antigen Donor Reagent Serum Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $5.97 / $262.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $5.97 / $5.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.40 / $12.40 / $12.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $11.75 / $14.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $7.18 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $5.72 / $7.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $11.65 / $12.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $8.34 / $16.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $14.83 / $17.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $5.72 / $7.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $6.35 / $6.35