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South Dakota rates for HCPCS 85370

Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $11.68 / $11.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $11.68 / $11.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.81 / $24.81 / $24.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $22.20 / $27.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.91 / $18.21 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $11.19 / $23.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.92 / $23.14 / $38.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $20.86 / $32.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.54 / $29.03 / $34.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $7.95 / $14.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $12.43 / $12.43