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South Dakota rates for HCPCS J3070

Pentazocine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $122.70 / $122.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.84 / $122.70 / $122.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.25 / $110.25 / $137.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.82 / $186.63 / $302.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $122.70 / $134.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.82 / $34.14 / $154.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.51 / $50.36 / $154.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.70 / $122.70 / $134.97