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South Dakota rates for HCPCS J1817

Insulin for administration through DME (i.e., insulin pump) per 50 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.99 / $3.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $5.48 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $3.24 / $3.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $3.88 / $11.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $6.95 / $13.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.49 / $3.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $3.51
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.54