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South Dakota rates for HCPCS J0520

Injection, bethanechol chloride, Myotonachol or Urecholine, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $5.62 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $6.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $7.57 / $13.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $6.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $5.94 / $5.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $6.18