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South Dakota rates for HCPCS 80325

Amphetamines; 3 or 4

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.00 / $209.00 / $209.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.94 / $35.90 / $44.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.97 / $17.97 / $42.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $15.61 / $15.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $24.10 / $24.10