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South Dakota rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $59.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.49 / $2.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.88 / $0.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.97 / $1.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.94 / $1.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.79 / $0.87
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88