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South Dakota rates for HCPCS 82693

Ethylene glycol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $23.44 / $74.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.47 / $20.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $36.31 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $10.47 / $25.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79