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South Dakota rates for HCPCS J0153

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $82.99 / $167.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.78 / $2.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.46 / $0.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.55 / $0.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.55 / $0.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46