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South Dakota rates for HCPCS P9017

Fresh Frozen Plasma (Single Donor) Frozen Within 8 Hours Of Collection Each Unit. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.11 / $36.11 / $36.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $72.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $156.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $122.25 / $198.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.36 / $156.36 / $156.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.97 / $156.36 / $160.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.29 / $84.29 / $84.29