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South Dakota rates for HCPCS J0210

Methyldopate Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.84 / $48.00 / $48.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $43.50 / $54.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $64.63 / $118.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $50.00 / $55.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $12.07 / $17.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $17.82 / $50.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $55.00