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South Dakota rates for HCPCS J3285

Injection, treprostinil, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $69.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $93.33 / $151.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $54.95 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $74.13
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95