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South Dakota rates for HCPCS 87341

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; hepatitis B surface antigen (HBsAg) neutralization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.91 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $19.95 / $25.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $15.49 / $37.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.76 / $14.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $25.12 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.92 / $17.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23