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South Dakota rates for HCPCS 88350

Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.48 / $78.48 / $78.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.02 / $22.02 / $619.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.46 / $56.46 / $1,915.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $192.73 / $295.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.61 / $49.56 / $73.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.17 / $143.82 / $221.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $132.11 / $750.04
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.05 / $53.88 / $179.95
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.31 / $76.95 / $570.15
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.00 / $110.00 / $110.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $192.73 / $232.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.63 / $187.81 / $219.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.91 / $47.66 / $54.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.12 / $140.15 / $166.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $68.30 / $148.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.78 / $18.05 / $53.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.19 / $51.52 / $88.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.80 / $241.60 / $259.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.70 / $61.30 / $65.90
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.10 / $180.30 / $193.90