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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
$160.00 / $160.00 / $160.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $37.86 / $37.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $37.86 / $47.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $48.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $17.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $24.20 / $24.20