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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
$47.86 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $45.71 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $40.74 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $63.10 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $45.71 / $45.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $54.95
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90