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South Dakota rates for HCPCS J3301

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $19.76 / $153.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $5.34 / $36.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $1.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $3.05 / $43.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.86 / $0.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.08 / $2.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.35 / $2.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.90
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86