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South Dakota rates for HCPCS J1250

Inj Dobutamine Hcl/250 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.86 / $9.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $8.28 / $10.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $11.41 / $21.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.98 / $8.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $9.02 / $9.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $8.51 / $11.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $7.75 / $7.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $7.08 / $7.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $7.98 / $7.98