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South Dakota rates for HCPCS J2010

Injection Lincomycin Hcl Up To 300 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $4.50 / $4.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.99 / $6.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.34 / $7.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $9.48 / $18.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.61 / $6.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $8.07 / $15.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $10.09 / $15.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $4.92 / $4.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.50 / $4.95
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.61 / $5.61 / $5.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $5.61 / $5.61