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South Dakota rates for HCPCS 87809

Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus

Facilitymedian $42 · 10th–90th $20–$420%50%10th$42Professionalmedian $20 · 10th–90th $14–$510%20%10th90th$20$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $41.69 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $24.55 / $102.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $24.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $51.29 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $16.60 / $25.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88