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South Dakota rates for HCPCS J2650

Injection, prednisolone acetate, up to 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.76 / $1.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.10 / $1.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.64