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South Dakota rates for HCPCS 85175

Clot lysis time, whole blood dilution

Facilitymedian $39 · 10th–90th $19–$390%50%10th$39Professionalmedian $19 · 10th–90th $12–$490%20%10th90th$19$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.90 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $19.50 / $37.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $20.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $41.69 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $8.51 / $23.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42