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South Dakota rates for HCPCS J2060

Injection Lorazepam 2 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $66.93 / $145.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.38 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $2.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $2.24 / $151.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.47 / $1.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.58 / $1.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.10 / $1.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $4.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.38 / $1.54
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32