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South Dakota rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.47 / $35.47 / $35.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $35.47 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $31.13 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.58 / $47.76 / $87.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $33.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.26 / $33.26 / $37.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $33.09