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South Dakota rates for HCPCS J3230

Chlorpromazine Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.27 / $25.27 / $25.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $25.27 / $32.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $29.59 / $36.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.33 / $40.79 / $74.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $27.07 / $29.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $34.85 / $44.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $34.85 / $45.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $27.65 / $27.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $25.27 / $27.80
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.07 / $27.07 / $27.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $27.07 / $27.07