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South Dakota rates for HCPCS 80179

Salicylate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $114.82 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.98 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $35.48 / $44.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $52.48 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $22.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $43.65 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $11.22 / $24.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62