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South Dakota rates for HCPCS 87197

Serum Bactericidal Titer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $14.12 / $14.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $14.12 / $14.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $26.76 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.39 / $24.10 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $13.52 / $30.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $30.60 / $47.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $33.00 / $43.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $35.07 / $41.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.51 / $20.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $15.02 / $15.02