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South Dakota rates for HCPCS J1170

Injection, hydromorphone, up to 4 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $100.22 / $106.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $5.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.50 / $7.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.96 / $2.96