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South Dakota rates for HCPCS J3070

Injection, pentazocine, 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $104.71 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $186.21 / $302.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $123.03 / $123.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $123.03 / $134.90