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South Dakota rates for HCPCS 84295

Sodium Serum Plasma Or Whole Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $6.39 / $45.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.37 / $6.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $9.78 / $9.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.14 / $11.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $7.72 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $4.33 / $9.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $9.80 / $15.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $10.69 / $13.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $11.23 / $13.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.37 / $6.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80