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South Dakota rates for HCPCS J1302

Enjaymo IV SOLN 1100 MG/22ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.86 / $21.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $19.20 / $19.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $18.67 / $23.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.55 / $30.61 / $49.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $19.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.73 / $24.25 / $31.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $21.73 / $27.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $20.64 / $20.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11