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South Dakota rates for HCPCS 86972

Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.90 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $57.54 / $72.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $34.67 / $64.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $20.89 / $257.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $20.42 / $42.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $26.30 / $26.30