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South Dakota rates for HCPCS J0586

Injection, abobotulinumtoxinA, 5 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $8.75 / $8.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $9.24 / $11.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $9.23 / $11.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $13.30 / $25.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $9.17 / $10.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $11.00 / $14.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $10.09 / $12.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.98 / $9.58 / $9.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $9.63
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $9.17 / $9.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $9.17 / $9.17