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South Dakota rates for HCPCS J0595

Injection, butorphanol tartrate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $6.43 / $6.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.43 / $6.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.80 / $5.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $8.52 / $13.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $5.05 / $6.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $5.63 / $6.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $4.25 / $7.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $7.04 / $7.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $6.43 / $7.07
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05