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South Dakota rates for HCPCS C9101

Injection, oliceridine, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.55 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $2.37 / $3.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $1.98 / $2.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29