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South Dakota rates for HCPCS 80340

Antiepileptics Not Otherwise Specified 4-6

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $67.00 / $67.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $33.29 / $33.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $33.29 / $41.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.02 / $16.02 / $37.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $9.19 / $9.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $23.90 / $23.90