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South Dakota rates for HCPCS J2510

Injection, penicillin G procaine, aqueous, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.14 / $55.14 / $55.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $55.14 / $55.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $45.63 / $50.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.64 / $63.08 / $135.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $45.95 / $50.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.64 / $51.47 / $82.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.64 / $35.75 / $54.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $39.40 / $39.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.95 / $45.95 / $50.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.61 / $38.61 / $38.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $38.61 / $38.61