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South Dakota rates for HCPCS J0220

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $269.15 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $257.04