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South Dakota rates for HCPCS 80220

Drug Assay Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $17.52 / $178.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $17.52 / $17.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $33.95 / $42.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $21.11 / $88.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $16.78 / $27.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.37 / $32.61 / $37.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.37 / $31.28 / $37.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $44.91 / $51.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $11.18 / $22.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $18.64 / $18.64