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South Dakota rates for HCPCS 80364

Opioids and opiate analogs; 5 or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.00 / $156.00 / $156.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.57 / $51.57 / $51.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $51.57 / $64.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.25 / $20.25 / $47.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.13 / $19.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.40 / $24.40 / $24.40