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South Dakota rates for HCPCS J0583

Bivalirudin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $5,291.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.28 / $5.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.20 / $1.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.31 / $3.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.19
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17