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South Dakota rates for HCPCS D9630

Drugs Or Medicaments Dispensed In The Office For Home Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $9.38 / $9.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $9.11 / $9.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.10 / $15.40 / $885.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $10.43 / $13.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $13.59 / $31.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $26.20 / $26.20