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South Dakota rates for HCPCS 80365

Oxycodone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $41.69 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $56.23 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $12.88 / $28.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12