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South Dakota rates for HCPCS 85400

Fibrinolytic factors and inhibitors; plasmin

Facilitymedian $15 · 10th–90th $7–$150%50%10th$15Professionalmedian $7 · 10th–90th $5–$210%20%10th90th$7$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $15.14 / $19.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $13.49 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.17 / $12.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $18.62 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $6.92 / $15.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76