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South Dakota rates for HCPCS J1180

Injection, dyphylline, up to 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $9.49 / $9.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $8.25 / $10.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $12.77 / $23.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $10.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $9.30 / $13.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $10.44