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South Dakota rates for HCPCS J1600

Injection, gold sodium thiomalate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $14.87 / $14.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.60 / $14.87 / $14.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $31.13 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $18.13 / $31.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $17.50 / $19.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $17.05 / $25.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $23.34 / $36.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $17.50 / $23.10