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South Dakota rates for HCPCS 85612

Russell viper venom time (includes venom); undiluted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $47.86 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $33.88 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $19.95 / $52.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.41 / $19.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $35.48 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.47 / $19.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38