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South Dakota rates for HCPCS J1750

Injection, iron dextran, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.28 / $21.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $18.11 / $21.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $25.78 / $49.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $18.03 / $19.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.63 / $21.63 / $30.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.20 / $19.91 / $26.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $19.80 / $28.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $19.92
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.03 / $18.03 / $18.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $18.03 / $18.03