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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
$1.70 / $1.70 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.70 / $1.70
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 / $4.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42