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South Dakota rates for HCPCS Q4213

Ascent 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.94 / $68.94 / $68.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $68.94 / $68.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $58.60 / $58.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.94 / $95.54 / $116.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.94 / $68.94 / $261.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.79 / $82.79 / $82.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $58.60 / $58.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.94 / $68.94 / $81.66
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.94 / $68.94 / $68.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.94 / $68.94 / $68.94