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South Dakota rates for HCPCS 80338

Antidepressants Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $119.00 / $119.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.57 / $19.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.51 / $19.57 / $24.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.91 / $19.91 / $47.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $15.31 / $15.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $24.10 / $24.10