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South Dakota rates for HCPCS C9089

Bupivacaine, collagen matrix implant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.52 / $2.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83