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South Dakota rates for HCPCS Q0163

Diphenhydramine Hcl 50mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $34.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.57 / $0.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.41 / $0.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02