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South Dakota rates for HCPCS J1100

Injection Dexamethasone Sodium Phosphate 1mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $98.32 / $198.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $1.30 / $36.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $7.56 / $23.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $6.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12