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South Dakota rates for HCPCS 86904

Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.36 / $15.36 / $15.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $15.36 / $15.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $32.64 / $32.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $30.03 / $37.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $15.42 / $77.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $14.71 / $19.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.08 / $21.33 / $29.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.38 / $21.47 / $42.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $38.15 / $44.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $9.80 / $19.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $16.34 / $16.34