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South Dakota rates for HCPCS J0365

Injection, aprotinin, 10,000 kiu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.65 / $3.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.57 / $6.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.65 / $2.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $3.33 / $4.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $4.36 / $6.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.92