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South Dakota rates for HCPCS 87400

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; Influenza, A or B, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $13.28 / $13.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.22 / $21.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $28.07 / $28.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $26.11 / $32.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $19.22 / $80.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $12.72 / $24.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $25.92 / $43.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $26.63 / $36.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $32.99 / $38.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.48 / $16.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13