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South Dakota rates for HCPCS J0330

Succinycholine Chloride Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $128.66 / $306.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.08 / $1.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.47 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.50 / $11.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.90 / $0.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.84 / $1.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.10 / $1.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.99
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81