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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
$230.15 / $230.15 / $230.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.15 / $232.46 / $278.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.49 / $234.49 / $234.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.06 / $230.15 / $283.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.67 / $329.27 / $630.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.84 / $230.26 / $253.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.19 / $276.31 / $391.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.43 / $254.81 / $335.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.85 / $251.87 / $251.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.15 / $230.15 / $253.17
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.26 / $230.26 / $230.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $230.26 / $230.26