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South Dakota rates for HCPCS J0561

Injection Penicillin G Benzathine 100 000 Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.01 / $226.13 / $349.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $30.30 / $561.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $27.76 / $34.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $41.90 / $94.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $29.30 / $32.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.74 / $32.38 / $46.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $23.40 / $39.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.84 / $32.84 / $32.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.01 / $30.01 / $33.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.30 / $29.30 / $29.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.30 / $29.30 / $29.30