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South Dakota rates for HCPCS G2079

Take home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a Medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $81.28 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $100.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $120.23 / $194.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18