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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
$2.02 / $37.08 / $12,898.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.04 / $5.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.02 / $2.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $3.68 / $51.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.18 / $2.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.61 / $2.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.61 / $3.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18