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South Dakota rates for HCPCS 82677

Estriol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $22.73 / $69.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.72 / $21.49 / $21.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.31 / $48.31 / $48.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.08 / $44.39 / $55.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.17 / $34.47 / $115.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $21.76 / $49.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.21 / $49.27 / $75.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.21 / $53.00 / $69.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $56.46 / $66.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $16.92 / $29.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.18 / $24.18 / $24.18