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South Dakota rates for HCPCS 38204

Management of recipient hematopoietic progenitor cell donor search and cell acquisition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $97.72 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $229.09 / $288.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $141.25 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $181.97 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $218.78 / $245.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $169.82 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $194.98 / $288.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $229.09