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South Dakota rates for HCPCS J2430

Injection Pamidronate Disodium Per 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.64 / $9.64 / $9.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $9.74 / $13.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $14.14 / $17.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $18.86 / $30.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $66.50 / $66.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $15.01 / $16.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.28 / $14.34 / $19.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $10.56 / $10.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $9.64 / $66.50
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $11.16 / $11.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $11.16 / $11.16