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South Dakota rates for HCPCS J1730

Injection, diazoxide, up to 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.41 / $129.41 / $129.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.42 / $129.41 / $129.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.50 / $116.66 / $144.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $174.26 / $319.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.33 / $129.41 / $142.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $126.56 / $186.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.77 / $165.49 / $254.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.41 / $129.41 / $142.36