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South Dakota rates for HCPCS 85300

Clotting inhibitors or anticoagulants; antithrombin III, activity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.14 / $11.34 / $42.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.59 / $18.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $23.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $21.54 / $26.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.39 / $13.42 / $144.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $10.67 / $24.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $24.16 / $26.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $26.00 / $32.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $27.67 / $32.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $8.28 / $15.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.85 / $11.85 / $11.85