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South Dakota rates for HCPCS 83858

Methsuximide

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.56 / $36.56 / $36.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $36.56 / $45.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.40 / $33.00 / $42.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.14 / $30.14 / $33.36