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South Dakota rates for HCPCS J1980

Injection, hyoscyamine sulfate, up to 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $54.95 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $74.13 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $53.70 / $53.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $53.70 / $58.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11