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South Dakota rates for HCPCS J3470

Injection Hyaluronidase Up To 150 Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.22 / $32.22 / $32.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $32.22 / $40.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $32.78 / $40.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.08 / $53.32 / $90.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.55 / $31.55 / $34.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.55 / $36.08 / $43.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.72 / $37.86 / $64.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $32.22 / $39.69
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.55 / $31.55 / $31.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.55 / $31.55 / $31.55