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South Dakota rates for HCPCS 80164

Valproic acid (dipropylacetic acid); total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.73 / $99.83 / $167.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $12.09 / $77.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.76 / $26.76 / $26.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $24.81 / $31.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $21.73 / $71.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $9.48 / $18.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $27.60 / $42.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $30.00 / $38.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $32.61 / $37.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $9.48 / $16.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54