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South Dakota rates for HCPCS 80299

Quantitation Drug Not Elsewhere Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $134.04 / $165.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $12.41 / $17.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.21 / $37.21 / $37.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $33.95 / $42.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $21.96 / $104.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $16.78 / $27.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.05 / $34.18 / $48.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.71 / $31.28 / $48.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $43.53 / $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