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South Dakota rates for HCPCS 38213

Transplant preparation of hematopoietic progenitor cells; platelet depletion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $12.03 / $12.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $12.03 / $35.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $26.49 / $33.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $25.10 / $119.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $24.54 / $660.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $29.47 / $36.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.17 / $29.02 / $116.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.56 / $19.73 / $22.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $23.30 / $34.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $26.00 / $27.00