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South Dakota rates for HCPCS J1960

Levorphanol Tartrate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.45 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.41 / $4.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.69 / $3.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.25 / $4.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $3.75 / $5.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.88 / $7.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $4.68