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South Dakota rates for HCPCS 83051

Hemoglobin Plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.87 / $6.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.36 / $14.36 / $14.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $13.71 / $17.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $11.73 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $6.58 / $15.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $14.88 / $22.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $16.03 / $21.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.94 / $17.07 / $20.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $5.12 / $10.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31