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South Dakota rates for HCPCS J1786

Injection, imiglucerase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.19 / $43.19 / $43.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $43.19 / $52.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.03 / $44.03 / $44.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $43.95 / $54.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.91 / $70.69 / $118.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.14 / $43.29 / $47.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $52.06 / $75.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.45 / $50.52 / $65.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.22 / $47.27 / $47.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.71 / $43.19 / $47.51
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.29 / $43.29 / $43.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.29 / $43.29 / $43.29