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South Dakota rates for HCPCS 0043U

Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $16.98 / $27.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.91 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $34.67 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $8.91 / $16.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79