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South Dakota rates for HCPCS 83051

Hemoglobin; plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $14.45 / $18.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $11.48 / $27.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.13 / $10.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $17.78 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $5.13 / $12.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24