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South Dakota rates for HCPCS J0270

Injection, alprostadil, 1.25 mcg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $12.33 / $12.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $10.48 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.94 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $14.10 / $30.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $10.27 / $11.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $2.92 / $4.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.82 / $6.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.27 / $10.27 / $11.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $6.56 / $6.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $6.56