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South Dakota rates for HCPCS 85293

Clotting; high molecular weight kininogen assay (Fitzgerald factor assay)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $36.31 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $21.38 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.18 / $26.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $45.71 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $13.18 / $33.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05