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South Dakota rates for HCPCS 87336

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; Entamoeba histolytica dispar group

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $30.20 / $38.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $18.62 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $19.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.11 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.55 / $20.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85