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South Dakota rates for HCPCS J3145

Injection, testosterone undecanoate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.08 / $2.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $3.32 / $5.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.39 / $3.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.35 / $3.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.27
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $1.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $1.99