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South Dakota rates for HCPCS J1930

Injection, lanreotide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $37.02 / $44.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.79 / $40.79 / $40.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $40.28 / $50.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.49 / $61.96 / $100.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $36.65 / $40.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.99 / $65.27 / $93.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.99 / $56.11 / $93.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.26 / $37.26 / $41.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $37.46
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.65 / $36.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.65 / $36.65