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South Dakota rates for HCPCS 85025

Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $124.82 / $258.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $7.77 / $69.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.67 / $15.67 / $15.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $14.36 / $17.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $106.49 / $179.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $5.44 / $15.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $15.82 / $24.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $13.31 / $22.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $18.14 / $21.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $5.44 / $9.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $7.77 / $7.77