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South Dakota rates for HCPCS J0596

Injection, C1 esterase inhibitor (recombinant), Ruconest, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.77 / $36.77 / $36.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.77 / $36.77 / $44.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.46 / $37.46 / $37.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $36.77 / $44.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.60 / $52.54 / $100.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.75 / $36.74 / $40.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.60 / $44.08 / $60.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $41.70 / $75.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.68 / $40.22 / $40.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.77 / $36.77 / $40.45
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74