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South Dakota rates for HCPCS J1980

Hyoscyamine Sulfate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.80 / $64.80 / $64.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.78 / $64.80 / $64.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $45.19 / $45.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.87 / $74.13 / $159.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $54.00 / $59.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.87 / $32.89 / $42.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $36.40 / $43.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $34.13 / $34.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $59.40
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.46 / $33.46 / $33.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.46 / $33.46 / $33.46