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South Dakota rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.33 / $114.33 / $114.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.23 / $114.33 / $114.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.34 / $255.98 / $319.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.69 / $166.01 / $408.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.10 / $187.21 / $301.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.42 / $273.07 / $371.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.42 / $265.10 / $328.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.36 / $201.59 / $231.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.02 / $172.43 / $287.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.30 / $220.30 / $220.30