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South Dakota rates for HCPCS J2805

Injection, sincalide, 5 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.36 / $244.53 / $1,375.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.36 / $137.06 / $164.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.94 / $145.94 / $182.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.26 / $194.44 / $372.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.36 / $135.97 / $149.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.53 / $163.16 / $171.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.91 / $131.69 / $171.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.36 / $123.36 / $135.69
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.97 / $135.97 / $135.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.97 / $135.97 / $135.97