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South Dakota rates for HCPCS 85397

Coagj&Fibrinolysis Functional Actv Nos Ea Anal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.01 / $29.01 / $29.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $29.01 / $29.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.36 / $61.36 / $61.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $56.14 / $70.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.57 / $36.77 / $146.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $27.77 / $47.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.82 / $56.58 / $83.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.69 / $56.58 / $80.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $72.06 / $84.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $18.52 / $33.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.86 / $30.86 / $30.86