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South Dakota rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $12.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $14.13 / $26.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $10.96 / $10.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.02