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South Dakota rates for HCPCS 80337

Antidepressants Tricyclic Other Cyclicals 6/More

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $192.00 / $192.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.74 / $43.74 / $43.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.95 / $43.74 / $54.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.91 / $19.91 / $47.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.43 / $12.43 / $12.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00