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South Dakota rates for HCPCS 87103

Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood

Facilitymedian $26 · 10th–90th $19–$390%20%40%10th90th$26Professionalmedian $19 · 10th–90th $13–$490%20%10th90th$19$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $19.05
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $20.89 / $30.90
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.90 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $22.91 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $20.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $41.69 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.59 / $23.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42