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South Dakota rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $10.95 / $10.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $9.75 / $12.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $14.10 / $27.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $10.95 / $12.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.41 / $13.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $9.33 / $13.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $12.05