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South Dakota rates for HCPCS J3310

Injection, perphenazine, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $7.51 / $7.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $7.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.59 / $10.11 / $18.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $8.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $8.27 / $8.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $8.26