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South Dakota rates for HCPCS 83632

Lactogen Hpl Human Chorionic Somatomammotropin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.01 / $19.01 / $19.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $19.01 / $19.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $40.47 / $40.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.54 / $37.21 / $46.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $32.40 / $119.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $18.20 / $41.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.09 / $41.19 / $63.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.09 / $44.94 / $57.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.01 / $47.22 / $55.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $14.15 / $28.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $20.22 / $20.22