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South Dakota rates for HCPCS 82633

Desoxycorticosterone 11-

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.12 / $29.12 / $29.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.76 / $29.12 / $29.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.02 / $62.02 / $62.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $56.14 / $70.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.69 / $38.19 / $152.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $27.88 / $63.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $63.14 / $85.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $63.14 / $84.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $72.34 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $21.68 / $37.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $30.98 / $30.98