go back

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
$7.08 / $87.10 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.14 / $19.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $9.33 / $39.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.37 / $10.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $18.62 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $5.37 / $13.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76