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South Dakota rates for HCPCS 85055

Reticulated Platelet Assay

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $33.60 / $133.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $33.60 / $35.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.16 / $71.16 / $71.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.89 / $64.63 / $80.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.25 / $42.93 / $169.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $32.17 / $42.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.29 / $65.54 / $95.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $46.97 / $93.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $83.46 / $98.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $32.17 / $37.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $35.74 / $35.74