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South Dakota rates for HCPCS 85260

Clotting; factor X (Stuart-Prower)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $16.82 / $233.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $32.64 / $40.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $21.78 / $146.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $16.11 / $36.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.17 / $36.47 / $48.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $30.04 / $48.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $41.80 / $49.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $12.53 / $21.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $17.89