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South Dakota rates for HCPCS J1650

Injection, enoxaparin sodium, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $100.13 / $153.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.59 / $0.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.94 / $64.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.56 / $0.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.68 / $1.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.97 / $2.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.64 / $7.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.59 / $0.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56