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South Dakota rates for HCPCS 80150

Amikacin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $14.18 / $14.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $14.18 / $14.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $30.03 / $30.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $27.42 / $34.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $24.17 / $98.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $13.57 / $31.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $30.72 / $47.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.46 / $32.46 / $41.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.61 / $35.21 / $41.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $10.55 / $18.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $15.08 / $15.08