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South Dakota rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $36.00 / $36.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60