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South Dakota rates for HCPCS 85415

Fibrinolytic factors and inhibitors; plasminogen activator

Facilitymedian $33 · 10th–90th $16–$1620%20%40%10th90th$33Professionalmedian $16 · 10th–90th $12–$420%10%20%10th90th$16$10.0$20.0$50.0$100.0$200.0

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
$15.85 / $19.50 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.11 / $41.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $19.50 / $54.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.02 / $23.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $15.49 / $23.99
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38