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South Dakota rates for HCPCS J3303

Injection, triamcinolone hexacetonide, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $4.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $11.22 / $23.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $8.13 / $8.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.13 / $8.91