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South Dakota rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $37.15 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.45 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.72 / $51.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.19 / $2.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.19 / $2.63
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04