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South Dakota rates for HCPCS J1094

Inj Dexamethasone Acetate

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.57 / $1.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44