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South Dakota rates for HCPCS 80199

Tiagabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $30.90 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $20.89 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $52.48 / $66.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $30.90 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $32.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $63.10 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $16.22 / $35.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92