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South Dakota rates for HCPCS 80143

Acetaminophen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.56 / $162.85 / $243.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $17.42 / $17.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $37.21 / $37.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $33.95 / $42.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $40.61 / $245.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $16.78 / $27.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.37 / $34.09 / $38.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $38.01 / $48.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $44.91 / $51.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $11.18 / $18.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $18.64 / $18.64