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South Dakota rates for HCPCS J0282

Injection Amiodarone Hydrochloride 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.42 / $0.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.73 / $1.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.51 / $0.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.84 / $1.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.75 / $1.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.47
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51