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South Dakota rates for HCPCS 78130

Red Cell Survival Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.13 / $129.13 / $129.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $129.13 / $129.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.53 / $291.66 / $364.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.52 / $188.22 / $323.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.45 / $226.88 / $365.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.43 / $325.14 / $379.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.00 / $287.17 / $339.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.68 / $229.25 / $276.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.60 / $191.61 / $348.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $250.50 / $250.50