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South Dakota rates for HCPCS P9017

Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $154.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $109.65 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $69.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11