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South Dakota rates for HCPCS 84302

Sodium; other source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $9.55 / $12.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $5.50 / $19.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.39 / $6.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $11.75 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.39 / $8.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90