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South Dakota rates for HCPCS J1655

Injection, tinzaparin sodium, 1000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.99 / $4.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $5.25 / $8.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $5.25 / $5.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.58 / $6.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $5.79 / $9.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.78