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South Dakota rates for HCPCS 80333

Antidepressants, serotonergic class; 3-5

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $39.81 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $48.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99