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South Dakota rates for HCPCS 85270

Clotting; factor XI (PTA)

Facilitymedian $35 · 10th–90th $16$910%20%10th90th$35Professionalmedian $16 · 10th–90th $11$490%20%10th90th$16$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $42.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $25.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $42.66 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $16.22 / $25.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78