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South Dakota rates for HCPCS P9055

Platelets, leukocytes reduced, CMV-negative, apheresis/pheresis, each unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.63 / $229.63 / $229.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.63 / $229.63 / $1,096.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.18 / $681.18 / $681.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.47 / $841.11 / $3,005.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.18 / $681.18 / $681.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.54 / $681.18 / $700.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.25 / $227.25 / $227.25