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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
$234.00 / $234.00 / $234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.22 / $194.22 / $198.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.63 / $212.63 / $265.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $270.95 / $347.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $257.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.95 / $270.95 / $270.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.19 / $247.96 / $270.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $257.39