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South Dakota rates for HCPCS 80339

Antiepileptics Not Otherwise Specified 1-3

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $115.00 / $115.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $31.99 / $31.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $31.99 / $39.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.02 / $37.89 / $112.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $21.76 / $36.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.17 / $40.27 / $44.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.17 / $40.27 / $62.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $21.76 / $31.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30