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South Dakota rates for HCPCS 85246

Clotting Factor Viii Vw Factor Antigen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $91.27 / $129.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.81 / $147.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.43 / $41.78 / $52.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $36.77 / $214.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $20.65 / $47.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $46.74 / $71.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $46.74 / $63.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $55.27 / $63.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $16.05 / $27.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.94 / $22.94 / $22.94