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South Dakota rates for HCPCS 86945

Irradiation Blood Product Each Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.27 / $27.27 / $27.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $27.27 / $27.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.82 / $39.82 / $39.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.19 / $39.82 / $49.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.27 / $31.65 / $51.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $16.54 / $184.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.19 / $42.23 / $64.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.46 / $40.27 / $54.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $28.47 / $28.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $14.64 / $30.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $30.00 / $30.00