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South Dakota rates for HCPCS 85220

Clotting Factor V Acg/Proaccelerin Labile Factor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $16.59 / $113.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $16.01 / $16.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $32.64 / $40.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.92 / $21.78 / $179.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $15.89 / $36.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.17 / $35.97 / $48.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $29.62 / $48.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.81 / $41.21 / $48.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $12.35 / $21.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $17.64 / $17.64