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South Dakota rates for HCPCS J0587

Inj, Rimabotulinumtoxinb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $13.29 / $13.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.41 / $16.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.29 / $16.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $19.54 / $36.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.34 / $14.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.83 / $16.01 / $22.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $14.96 / $19.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $14.55 / $14.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.29 / $14.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $13.34 / $13.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $13.34 / $13.34