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South Dakota rates for HCPCS 83014

Hpylori Drug Administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.39 / $13.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $7.14 / $10.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.67 / $15.67 / $15.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $14.36 / $17.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $12.61 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $7.07 / $16.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $16.00 / $24.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $17.23 / $22.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.84 / $18.35 / $21.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $5.50 / $10.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86