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South Dakota rates for HCPCS J1160

Injection Digoxin Up To 0.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $9.05 / $9.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $9.05 / $10.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $6.23 / $6.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $7.04 / $10.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $9.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $6.74 / $14.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.90 / $13.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $9.91 / $9.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $9.05 / $9.96
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00