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South Dakota rates for HCPCS 80185

Phenytoin; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $42.66 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $25.70 / $31.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $20.42 / $58.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $9.33 / $18.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $31.62 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $9.33 / $21.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18