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South Dakota rates for HCPCS J1640

Injection, hemin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $44.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $48.98 / $93.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $33.88 / $33.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $35.48 / $38.90
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88