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South Dakota rates for HCPCS 85421

Fibrinolytic factors and inhibitors; plasminogen, antigenic assay

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $19.50 / $23.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $15.49 / $114.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.08 / $14.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $26.30 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $7.08 / $17.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23