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South Dakota rates for HCPCS 85291

Clotting; factor XIII (fibrin stabilizing), screen solubility

Facilitymedian $17 · 10th–90th $8–$760%20%40%10th90th$17Professionalmedian $8 · 10th–90th $6–$240%20%10th90th$8$5.0$10.0$20.0$50.0$100.0

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
$7.94 / $10.47 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $17.38 / $21.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $13.80 / $43.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.17 / $12.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.88 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $8.13 / $12.30
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12