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South Dakota rates for HCPCS J1380

Estradiol Valerate 10 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.79 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $7.43 / $9.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $13.03 / $25.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.71 / $8.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $9.25 / $13.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $10.23 / $14.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $7.93 / $7.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $7.71 / $7.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $7.71 / $7.71