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South Dakota rates for HCPCS J2212

Injection, methylnaltrexone, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.19 / $4.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.41 / $1.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.55 / $1.74
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41