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South Dakota rates for HCPCS J1790

Injection, droperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $122.03 / $191.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $7.63 / $7.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $8.74 / $10.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $9.06 / $14.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.36 / $48.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $5.12 / $10.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $5.53 / $10.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $8.35 / $8.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $8.39
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $5.36 / $5.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.36 / $5.36