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South Dakota rates for HCPCS 82638

Dibucaine number

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.52 / $11.52 / $11.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $11.52 / $11.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.15 / $24.15 / $24.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $22.20 / $27.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.74 / $19.62 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $11.03 / $25.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.81 / $24.95 / $38.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.81 / $27.00 / $35.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.69 / $28.60 / $33.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $11.03 / $17.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $12.25