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South Dakota rates for HCPCS 84600

Volatiles (eg, acetic anhydride, diethylether)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $16.07 / $207.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $33.95 / $33.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $31.33 / $39.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $25.78 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $15.40 / $20.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.08 / $32.77 / $53.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $35.74 / $46.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $39.95 / $47.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $10.27 / $17.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $17.11 / $17.11