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South Dakota rates for HCPCS 85280

Clotting Factor Xii Hageman

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.19 / $18.19 / $18.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $18.19 / $18.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $35.25 / $44.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.53 / $21.90 / $157.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $17.42 / $39.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.97 / $39.43 / $48.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $39.43 / $50.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $45.18 / $53.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.54 / $23.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.35 / $19.35