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South Dakota rates for HCPCS 38213

Transplant preparation of hematopoietic progenitor cells; platelet depletion

Facilitymedian $12 · 10th–90th $12–$1200%50%90th$12Professionalmedian $15 · 10th–90th $11–$340%10%20%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $26.92 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $26.92 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $21.88 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $28.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $23.44 / $33.88
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $26.92