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South Dakota rates for HCPCS Q4244

Procenta, per 200 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.30 / $77.30 / $96.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.98 / $57.98 / $72.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,216.79 / $10,216.79 / $10,216.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,148.36 / $14,148.36 / $14,148.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,148.36 / $14,148.36 / $14,148.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,098.00 / $10,098.00 / $10,098.00