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South Dakota rates for HCPCS 38241

Hematopoietic progenitor cell (HPC); autologous transplantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.55 / $182.55 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.76 / $255.76 / $477.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.85 / $444.68 / $1,539.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.19 / $290.43 / $344.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00