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South Dakota rates for HCPCS 84022

Assay Of Phenothiazine

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.52 / $38.52 / $38.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.61 / $38.52 / $48.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $60.79 / $100.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.55 / $34.00 / $44.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.69 / $33.69 / $35.07