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South Dakota rates for HCPCS 86965

Pooling of platelets or other blood products

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.51 / $30.51 / $30.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $30.51 / $30.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.39 / $44.39 / $44.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.08 / $44.39 / $55.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.94 / $32.43 / $57.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $18.50 / $206.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.26 / $44.85 / $72.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.56 / $44.66 / $60.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $21.36 / $21.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $16.47 / $33.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $24.60 / $24.60