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South Dakota rates for HCPCS J0834

Injection, cosyntropin, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.37 / $26.12 / $39.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $28.30 / $85.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.01 / $34.01 / $42.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $74.88 / $582.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $28.02 / $33.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.63 / $40.08 / $48.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $48.72 / $75.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.76 / $27.76 / $27.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $25.37 / $27.91
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.02 / $28.02 / $28.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $28.02 / $28.02