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South Dakota rates for HCPCS 85475

Hemolysin, acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $8.34 / $8.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.34 / $8.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.63 / $17.63 / $17.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $15.67 / $19.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.49 / $14.24 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.98 / $18.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $18.07 / $27.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $19.72 / $25.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $20.71 / $24.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $6.21 / $10.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86