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South Dakota rates for HCPCS J3246

Injection, tirofiban HCl, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.48 / $4.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $4.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $5.80 / $14.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $4.34 / $15.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.43 / $18.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.83
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43