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South Dakota rates for HCPCS J2910

Injection Aurothioglucose Up To 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.40 / $29.40 / $29.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $29.40 / $30.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $31.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.63 / $39.58 / $72.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $29.40 / $32.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.72 / $27.72 / $27.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $29.40 / $32.34