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South Dakota rates for HCPCS J2355

Injection, oprelvekin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.91 / $528.91 / $528.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.00 / $528.91 / $528.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.88 / $475.88 / $594.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.23 / $738.94 / $1,304.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.36 / $528.91 / $588.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.23 / $308.07 / $560.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.17 / $402.86 / $619.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.91 / $588.79 / $588.79