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South Dakota rates for HCPCS J0570

Buprenorphine implant, 74.2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $1,485.00 / $1,485.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.00 / $1,262.25 / $1,485.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.50 / $1,349.87 / $1,670.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,558.75 / $6,558.75 / $6,558.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.83 / $1,515.83 / $1,515.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,524.23 / $1,528.84 / $1,528.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.83 / $1,528.84 / $3,145.02