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South Dakota rates for HCPCS J1330

Injection Ergonovine Maleate Up To 0.2 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.17 / $5.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $5.73 / $7.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $6.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $5.94 / $5.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $7.56