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South Dakota rates for HCPCS 38242

Allogeneic lymphocyte infusions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.27 / $129.27 / $129.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $168.23 / $2,000.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.61 / $241.03 / $1,539.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.38 / $201.75 / $243.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00