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South Dakota rates for HCPCS J2354

Octreotide Inj, Non-Depot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.61 / $0.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $1.03 / $2.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.66 / $0.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.97 / $1.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $1.15 / $1.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.61 / $0.68
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61