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South Dakota rates for HCPCS 85420

Fbrnlyc Factors&Inhibitrs Plsmng Xcpt Agic Ass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.93 / $6.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $11.75 / $14.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $10.47 / $112.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $5.88 / $13.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.43 / $13.32 / $20.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $14.31 / $18.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $15.25 / $17.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $4.57 / $7.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.53 / $6.53