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South Dakota rates for HCPCS J1130

Injection, diclofenac sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.25 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.39 / $0.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.28