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South Dakota rates for HCPCS J2150

Injection, mannitol, 25% in 50 ml

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $3.04 / $6.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.72 / $3.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.89 / $5.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.24 / $2.46