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South Dakota rates for HCPCS J0883

Injection, argatroban, 1 mg (for non-ESRD use)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.80 / $0.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $1.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.25 / $3.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.13 / $1.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.13 / $3.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74