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South Dakota rates for HCPCS J3420

Injection, vitamin B-12 cyanocobalamin, up to 1,000 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $40.74 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.51 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.62 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.95 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00