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South Dakota rates for HCPCS 87328

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; cryptosporidium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $85.56 / $725.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $10.88 / $66.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $27.42 / $27.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $25.46 / $31.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $25.37 / $163.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $12.44 / $24.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $25.35 / $43.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $26.63 / $36.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $32.27 / $37.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $12.44 / $16.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $13.82 / $13.82