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South Dakota rates for HCPCS J0364

Injection Apomorphine Hydrochloride 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.66 / $41.66 / $41.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.58 / $41.66 / $41.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $34.09 / $42.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $53.59 / $102.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $34.72 / $38.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $3.75 / $5.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $5.53 / $41.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.88 / $39.88 / $39.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $34.72 / $38.19
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.72 / $34.72 / $34.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $34.72 / $34.72