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South Dakota rates for HCPCS J1610

Glucagon Hydrochloride/1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.45 / $499.35 / $634.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $184.27 / $236.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.36 / $194.36 / $242.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.18 / $279.98 / $536.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $195.79 / $215.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.01 / $234.95 / $322.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.63 / $228.92 / $276.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.40 / $199.66 / $199.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.08 / $182.45 / $200.70
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.79 / $195.79 / $195.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.79 / $195.79 / $195.79