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South Dakota rates for HCPCS P2029

Congo Red Blood (Special Coverage Instructions Apply. See Cim: 50-34)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.65 / $4.65 / $4.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $4.65 / $4.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $5.61 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $4.46 / $9.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $7.02 / $9.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $8.14 / $12.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $11.93 / $13.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $3.12 / $5.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95