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South Dakota rates for HCPCS 38240

Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $4,365.16 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $323.59 / $645.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $537.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $389.05 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84