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South Dakota rates for HCPCS 86972

Pretx Rbc Antibody Incubat W/Density Grad Sep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.29 / $38.29 / $38.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.32 / $38.29 / $38.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.84 / $54.84 / $54.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.69 / $54.84 / $68.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.24 / $40.72 / $72.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $23.23 / $258.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.15 / $56.56 / $90.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $55.81 / $74.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $16.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $20.50 / $42.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.30 / $26.10 / $26.10