go back

South Dakota rates for HCPCS 85055

Reticulated platelet assay

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $72.44 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.11 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $67.61 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $41.69 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.14 / $37.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $83.18 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $21.38 / $42.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48