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South Dakota rates for HCPCS 11952

Subcutaneous Injection Filling Matrl 5.1-10.0cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.87 / $139.97 / $139.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.73 / $122.40 / $139.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $281.45 / $414.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.97 / $204.80 / $335.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.78 / $304.05 / $1,072.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.99 / $248.18 / $355.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.40 / $266.95 / $380.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.72 / $202.24 / $284.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $243.24 / $398.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.40 / $222.00 / $319.20