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South Dakota rates for HCPCS 85240

Clotting; factor VIII (AHG), 1-stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $70.79 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.22 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $34.67 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $27.54 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $12.59 / $25.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $42.66 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $12.59 / $30.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78