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South Dakota rates for HCPCS C9488

Injection Conivaptan Hydrochloride 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.48 / $53.48 / $53.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.39 / $53.48 / $53.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $45.46 / $45.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.18 / $81.34 / $131.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $47.35 / $47.35
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.57 / $44.57 / $44.57