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South Dakota rates for HCPCS J3000

Streptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.67 / $36.69 / $37.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.06 / $32.58 / $32.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.94 / $52.98 / $93.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $31.35 / $36.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.46 / $33.92 / $54.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $32.54 / $54.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $40.15 / $40.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $40.36
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $31.35 / $31.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $31.35 / $31.35