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South Dakota rates for HCPCS 82135

Aminolevulinic acid, delta (ALA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.46 / $15.46 / $15.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $15.46 / $15.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $32.64 / $32.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $30.03 / $37.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.76 / $26.37 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $14.81 / $33.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $33.50 / $51.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $36.04 / $47.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.87 / $38.40 / $45.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $11.51 / $19.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $16.45 / $16.45