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South Dakota rates for HCPCS 87806

Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.80 / $98.98 / $98.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.56 / $27.85 / $49.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.28 / $62.28 / $62.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $59.40 / $74.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.02 / $34.76 / $155.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $29.49 / $45.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.28 / $53.51 / $60.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $60.10 / $85.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.76 / $76.52 / $90.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $16.85 / $39.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.77 / $32.77 / $32.77