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South Dakota rates for HCPCS 85291

Clotting Factor Xiii Fibrn Stabiliz Screen Solub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.56 / $8.56 / $8.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $8.56 / $8.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.28 / $18.28 / $18.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $16.32 / $20.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.72 / $14.27 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $8.19 / $18.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $18.12 / $28.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $18.12 / $24.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $21.27 / $25.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $6.22 / $10.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11