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South Dakota rates for HCPCS J1720

Hydrocortisone Sodium Succ I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.50 / $155.01 / $217.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $21.53 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $21.31 / $26.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $30.32 / $58.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.58 / $21.20 / $23.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $24.95 / $25.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $23.87 / $32.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $23.33 / $23.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $23.44
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.20 / $21.20 / $21.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $21.20 / $21.20