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South Dakota rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.42 / $7.42 / $7.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $7.42 / $7.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $10.00 / $18.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $4.76 / $5.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $5.83 / $8.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $7.62 / $12.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $5.24