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South Dakota rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $13.88 / $170.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $10.34 / $11.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $11.25 / $14.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $14.03 / $72.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $8.30 / $11.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $9.96 / $16.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $8.02 / $16.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $11.32 / $11.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $11.37
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $8.30 / $8.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $8.30 / $8.30