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South Dakota rates for HCPCS J2278

Injection, ziconotide, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $12.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.14 / $12.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.64 / $14.49 / $27.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $10.13 / $11.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.78 / $12.15 / $17.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $11.15 / $14.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $11.10 / $11.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $11.15
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.13 / $10.13 / $10.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $10.13