go back

South Dakota rates for HCPCS J0702

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $31.77 / $64.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $8.84 / $54.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $6.98 / $8.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $11.64 / $25.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $6.89 / $7.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.22 / $8.81 / $9.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $8.33 / $11.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $7.61 / $7.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $7.66
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $6.89 / $6.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $6.89 / $6.89