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South Dakota rates for HCPCS 86930

Frozen blood, each unit; freezing (includes preparation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $91.20 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $165.96 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $112.20 / $204.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $60.26 / $741.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $58.88 / $123.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $114.82 / $114.82