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South Dakota rates for HCPCS 80165

Valproic acid (dipropylacetic acid); free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.73 / $12.73 / $12.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $12.30 / $12.73
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 / $64.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $12.19 / $27.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $27.60 / $37.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $30.10 / $36.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $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