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South Dakota rates for HCPCS P9053

Platelets Pheresis Leukocytes Reduced Cmv-Negative Irradiated Each Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.08 / $1,052.08 / $1,052.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.40 / $1,052.08 / $2,159.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.10 / $900.10 / $900.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.39 / $2,159.84 / $5,917.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.10 / $900.10 / $900.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.36 / $900.10 / $921.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.23 / $459.23 / $459.23