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South Dakota rates for HCPCS J0180

Injection, agalsidase beta, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $331.13 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $229.09 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $229.09 / $251.19
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09