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South Dakota rates for HCPCS J2795

Injection, ropivacaine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $70.79 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $8.91 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.71 / $2.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.09
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05