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South Dakota rates for HCPCS 85210

Clotting; factor II, prothrombin, specific

Facilitymedian $25 · 10th–90th $12–$1120%20%40%10th90th$25Professionalmedian $12 · 10th–90th $8–$350%20%10th90th$12$10.0$20.0$50.0$100.0$200.0

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
$12.02 / $14.79 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $12.02
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $24.55 / $30.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $14.79 / $44.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.12 / $18.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $31.62 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $11.75 / $18.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88