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South Dakota rates for HCPCS P9039

Red Blood Cells Deglycerolized Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.71 / $248.71 / $248.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.71 / $248.71 / $1,040.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.40 / $329.40 / $329.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.58 / $681.47 / $2,850.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.40 / $329.40 / $329.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.11 / $329.40 / $338.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.74 / $653.74 / $653.74