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South Dakota rates for HCPCS J3299

Injection Triamcinolone Acetonide (Xipere) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.97 / $47.97 / $47.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.97 / $48.45 / $58.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.13 / $49.50 / $61.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $81.12 / $131.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $213.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.60 / $62.95 / $85.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.18 / $57.60 / $68.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.50 / $52.50 / $52.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.97 / $47.97 / $52.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00