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South Dakota rates for HCPCS J2941

Injection, somatropin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $158.49 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $213.80 / $457.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $154.88 / $154.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $154.88 / $177.83
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88