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South Dakota rates for HCPCS 85410

Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $6.98 / $7.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.67 / $15.67 / $15.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $14.36 / $17.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $12.35 / $109.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.94 / $15.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $15.71 / $24.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $17.00 / $22.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $18.00 / $21.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $5.39 / $9.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $7.71 / $7.71