go back

South Dakota rates for HCPCS 83003

Growth hormone, human (HGH) (somatotropin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.79 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $32.36 / $40.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $25.70 / $74.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $23.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $39.81 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.75 / $28.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60