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South Dakota rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.24 / $73.11 / $119.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.24 / $62.25 / $122.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.60 / $124.13 / $216.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.24 / $99.79 / $179.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $186.98 / $970.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.36 / $137.00 / $228.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.33 / $125.00 / $184.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.88 / $104.57 / $140.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $138.63 / $195.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $94.20 / $175.90