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South Dakota rates for HCPCS J2010

Injection, lincomycin HCl, up to 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $6.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $9.55 / $19.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.62 / $6.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $8.91
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47