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South Dakota rates for HCPCS J0636

Injection Calcitriol 0.1 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.19 / $1.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.98 / $0.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $1.53 / $2.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.97 / $1.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.93 / $1.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.99 / $0.99
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00