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South Dakota rates for HCPCS J0600

Injection, edetate calcium disodium, up to 1,000 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $6,408.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $7,810.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,581.93 / $6,581.93 / $8,227.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,300.92 / $9,415.41 / $17,685.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,454.57 / $7,100.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,713.31 / $7,745.48 / $10,647.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,015.95 / $7,004.75 / $9,126.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,012.94 / $7,012.94 / $7,012.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $7,049.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,454.57 / $6,454.57 / $6,454.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,454.57 / $6,454.57 / $6,454.57