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South Dakota rates for HCPCS 78191

Platelet 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 / $439.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.45 / $230.74 / $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
$264.02 / $307.45 / $440.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.53 / $232.67 / $284.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.60 / $189.46 / $348.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $250.50 / $250.50