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South Dakota rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Facilitymedian $32 · 10th–90th $15–$4270%20%10th90th$32Professionalmedian $15 · 10th–90th $10–$450%20%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

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
$15.14 / $158.49 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $31.62 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $25.12 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.48 / $22.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $39.81 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $14.79 / $22.91
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22