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South Dakota rates for HCPCS P9035

Platelets Pheresis Leukocytes Reduced Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.38 / $798.38 / $798.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.41 / $798.38 / $798.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.75 / $480.75 / $600.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.15 / $1,026.83 / $1,596.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.04 / $861.04 / $861.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.90 / $861.04 / $880.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.10 / $487.10 / $487.10