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South Dakota rates for HCPCS 85250

Clotting Factor Ix Ptc/Christmas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $17.89 / $117.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $17.89 / $17.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $37.86 / $37.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $34.60 / $43.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.25 / $29.49 / $148.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $17.14 / $39.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.17 / $38.79 / $48.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $31.95 / $49.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $44.46 / $52.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $13.32 / $26.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $19.04 / $19.04