go back

South Dakota rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $120.84 / $1,490.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.41 / $8.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.35 / $7.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $16.91 / $128.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $6.17 / $7.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $7.40 / $11.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $8.22 / $12.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $8.03 / $8.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $8.09
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17