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South Dakota rates for HCPCS 87380

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, delta agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.26 / $17.26 / $17.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $17.26 / $17.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.56 / $36.56 / $36.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $33.29 / $41.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $26.31 / $87.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $16.52 / $33.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $33.65 / $57.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.69 / $36.47 / $47.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $42.87 / $50.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $11.48 / $22.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.36 / $18.36 / $18.36