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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
$19.95 / $38.90 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $26.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $74.13 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.18 / $33.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $43.65
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12