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South Dakota rates for HCPCS 84586

Vasoactive intestinal peptide (VIP)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.21 / $33.21 / $63.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $32.03 / $33.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.50 / $70.50 / $70.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $63.97 / $79.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $33.85 / $214.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $31.80 / $72.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $71.98 / $78.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $78.00 / $96.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.14 / $82.50 / $97.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $24.72 / $42.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $35.33 / $35.33