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South Dakota rates for HCPCS 85460

Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.27 / $7.27 / $7.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $7.27 / $7.27
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
$7.41 / $9.39 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.96 / $15.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.98 / $15.76 / $21.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $15.76 / $21.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $18.05 / $21.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $5.41 / $9.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.73