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South Dakota rates for HCPCS 86976

Pretreatment of serum for use in RBC antibody identification; by dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $32.78 / $32.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.53 / $32.78 / $32.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.00 / $47.00 / $47.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $47.00 / $58.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.86 / $34.85 / $61.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.74 / $19.88 / $252.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.17 / $48.40 / $77.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $48.40 / $68.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $19.88 / $36.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $37.90 / $37.90