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South Dakota rates for HCPCS J0130

Injection abciximab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,617.82 / $1,617.82 / $1,617.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.79 / $1,617.82 / $1,617.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.13 / $1,456.13 / $1,820.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.34 / $2,082.14 / $3,989.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.62 / $1,388.63 / $1,527.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.34 / $718.96 / $2,033.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.99 / $982.36 / $1,855.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.63 / $1,388.63 / $1,527.49