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South Dakota rates for HCPCS 38214

Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.99 / $40.99 / $40.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $40.99 / $123.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.35 / $90.38 / $112.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.19 / $82.16 / $111.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.93 / $83.50 / $1,017.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.66 / $100.47 / $125.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $97.00 / $107.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.20 / $67.88 / $77.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.94 / $83.90 / $116.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.70 / $89.00 / $92.60