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South Dakota rates for HCPCS 82030

Adenosine 5-Monophosphate Cyclic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.25 / $24.25 / $24.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $24.25 / $24.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.57 / $51.57 / $51.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $47.00 / $58.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.78 / $29.22 / $128.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $23.22 / $53.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $52.57 / $57.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $57.00 / $69.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $60.25 / $70.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $23.22 / $53.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.80 / $25.80 / $25.80