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South Dakota rates for HCPCS J0571

Buprenorphine, oral, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $7.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.32 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.49 / $3.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.64 / $0.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47