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South Dakota rates for HCPCS C9250

Human plasma fibrin sealant, vapor-heated, solvent-detergent (Artiss), 2 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $181.97 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $75.86 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $295.12 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $229.09 / $269.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88