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South Dakota rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.26 / $39.26 / $39.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $39.26 / $39.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.56 / $83.56 / $83.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.91 / $75.72 / $94.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.65 / $47.30 / $275.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $25.06 / $50.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.89 / $73.45 / $76.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $68.72 / $109.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $97.54 / $114.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $25.06 / $41.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $41.77 / $41.77