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South Dakota rates for HCPCS 85378

Fibrin Dgradj Products D-Dimer Qual/Semiquan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $9.14 / $116.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.14 / $9.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.57 / $19.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $17.63 / $22.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $11.44 / $103.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $8.75 / $14.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.54 / $17.82 / $26.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $16.30 / $25.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $22.70 / $26.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.99 / $11.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $9.72 / $9.72