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South Dakota rates for HCPCS 80101

Drug Scr Qual 1 Drug Class Meth Ea Drug Class

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $74.14 / $124.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $31.06 / $55.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $28.47 / $28.47