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South Dakota rates for HCPCS 87389

Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $96.88 / $703.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $21.84 / $96.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.31 / $48.31 / $48.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $43.74 / $54.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.02 / $55.96 / $114.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $15.32 / $34.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.08 / $49.06 / $57.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $53.51 / $69.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.76 / $58.02 / $66.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $15.32 / $28.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08