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South Dakota rates for HCPCS 85210

Clotting Factor Ii Prothrombin Specific

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.20 / $12.20 / $12.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $12.20 / $12.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.11 / $26.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $23.50 / $29.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $14.70 / $171.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $11.68 / $26.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.97 / $18.67 / $26.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $19.64 / $33.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $30.31 / $35.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $9.08 / $26.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $12.98 / $12.98